Individual
MRS. CHRISTINE T O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5626 N 91ST ST STE 301, MILWAUKEE, WI 53225-2745
(414) 461-1088
(414) 461-1049
Mailing address
2636 N 97TH ST, WAUWATOSA, WI 53226-1650
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
160123
WI
101YP2500X
Professional Counselor
160123
WI
1041C0700X
Clinical Social Worker
Primary
160123
WI
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
160123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160123
LICENCE
WI
05
—
40983900
—
WI
Enumeration date
04/11/2007
Last updated
08/31/2015
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