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Individual
TIMOTHY O'CONNELL
Active
Individual
TIMOTHY O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CATC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19609
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
2114485
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/26/2017
Last updated
06/02/2026
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