Individual
DAVID JEFFREY O'DONNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 HIGHLAND AVE, MC 2433, MADISON, WI 53792-1530
(608) 662-0817
(608) 203-4544
Mailing address
600 HIGHLAND AVE, MC 2433, MADISON, WI 53792-1530
(608) 662-0817
(608) 203-4544
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15140-132
WI
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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