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Amanda J O'connell
Mental Health Counselor in Cedarburg, Wisconsin
NPI 1780307819

Amanda J O'connell is a Mental Health Counselor based in Cedarburg, WI and is specialized in Mental Health. Amanda J O'connell practices in Cedarburg, WI. The NPI Number for Amanda J O'connell is 1780307819 and holds a License No. (Wisconsin).

The current practice location address for Amanda J O'connell is W62N248 Washington Ave, Cedarburg, WI and can be reached out via phone at 262-375-1116.

Location: W62N248 Washington Ave, Cedarburg, WI, 53012-2768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780307819
Provider Name
Amanda J O'connell
Credential
Provider Entity Type
Individual
Gender
Female
Address
W62N248 Washington Ave, Cedarburg, WI, 53012-2768
Phone Number
262-375-1116
Fax Number
Provider Enumeration Date
09/23/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
O2540109351106 01 WI DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
W62N248 Washington Ave
City
Cedarburg
State
Wisconsin
Zip
53012-2768
Phone Number
262-375-1116
Fax Number
person
Provider Business Mailing Address Details
Address
W62N248 Washington Ave
City
Cedarburg
State
Wisconsin
Zip
53012-2768
Phone Number
262-375-1116
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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