Individual
JASON O'CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1315 13TH AVE SE, DECATUR, AL 35601
(256) 260-7306
(256) 355-6092
Mailing address
1316 SOMERVILLE RD SE STE 1, DECATUR, AL 35601-4309
(256) 260-7361
(256) 355-6092
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
06/11/2019
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