Individual
KATIE O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
639 STRUCK ST, MADISON, WI 53719-1383
(608) 234-5990
Mailing address
639 STRUCK ST, MADISON, WI 53719-1383
(303) 974-0347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8103226
WI
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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