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Individual
GRADY O'NEILL
Active
Individual
GRADY O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2-01483
MI
101YP2500X
Professional Counselor
Primary
12076-125
WI
221700000X
Art Therapist
217-36
WI
Other
Enumeration date
12/28/2015
Last updated
09/30/2025
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