Individual
TERENCE MICHAEL O'CONNOR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADT-1
Contact information
Practice address
4576 E SHIELDS AVE, FRESNO, CA 93726-7220
(559) 240-9206
(559) 258-0248
Mailing address
4576 E SHIELDS AVE, FRESNO, CA 93726-7220
(559) 240-9206
(559) 258-0248
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1603690325
CA
374700000X
Technician
Primary
—
CA
Other
Enumeration date
09/29/2025
Last updated
06/10/2026
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