Individual
MICHAEL JAMES O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFTA
Contact information
Practice address
815 E 63RD PL STE 203, INDIANAPOLIS, IN 46220-1885
(317) 490-8492
Mailing address
815 E 63RD PL STE 203, INDIANAPOLIS, IN 46220-1885
(317) 490-8492
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85000341A
IN
Other
Enumeration date
05/20/2019
Last updated
06/11/2019
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