Individual
DENNIS M. O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TBS
Contact information
Practice address
300 E GOBBI ST, UKIAH, CA 95482-5511
(707) 472-2922
Mailing address
4165 BLACKHAWK DR, WILLITS, CA 95490-9728
(707) 472-2922
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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