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PHILIP AARON O'CONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SUDP

Contact information

Practice address
515 3RD AVE, SEATTLE, WA 98104-2304
(206) 464-1570
Mailing address
18023 44TH DR SE, BOTHELL, WA 98012-5083
(425) 923-5879

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61299143
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor

Other

Enumeration date
01/27/2020
Last updated
06/07/2024
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