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Individual
DR. KEVIN O'BRIEN
Active
Individual
DR. KEVIN O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
102L00000X
Psychoanalyst
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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