Individual
JENNIFER STACY O'TOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
04/28/2026
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