Individual
MR. PATRICK ALLEN O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
322 W JEFFERSON ST, PLYMOUTH, IN 46563-1734
(574) 936-3377
(574) 936-3910
Mailing address
322 W JEFFERSON ST, PLYMOUTH, IN 46563-1734
(574) 936-3377
(574) 936-3910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002253A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200400060
—
IN
Enumeration date
06/29/2010
Last updated
08/13/2015
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