Individual
MS. TERESA ANN O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPCI
Contact information
Practice address
3809 SOUTH WEST TEMPLE, SALT LAKE CITY, UT 84165
(801) 268-4454
Mailing address
3231 MAPLE WAY, SALT LAKE CITY, UT 84119-2940
(801) 674-8293
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5568030-6009
UT
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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