Organization
TERRI O'DONNELL LPC SASA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA ANNE O'DONNELL LPC, SASA (OWNER)
(608) 347-5015
Entity
Organization
Contact information
Practice address
802 W BROADWAY, SUITE 206, MONONA, WI 53713-1821
(608) 347-5015
Mailing address
2828 NASHUA LN, COTTAGE GROVE, WI 53527-9551
(608) 347-5015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4013-125
WI
Other
Enumeration date
04/03/2011
Last updated
04/03/2011
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