Individual
MRS. CHRISTINE T O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
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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