Individual
GRADY O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
115 5TH AVE N, HURLEY, WI 54534-1208
(715) 329-1288
Mailing address
115 5TH AVE N, HURLEY, WI 54534-1208
(715) 329-1288
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2-01483
MI
101YP2500X
Professional Counselor
Primary
12076-125
WI
221700000X
Art Therapist
217-36
WI
Other
Enumeration date
12/28/2015
Last updated
09/30/2025
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