Individual
ALYCIA A O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC III, CSSW
Contact information
Practice address
107 E HISTORIC COLUMBIA RIVER HWY STE 209, TROUTDALE, OR 97060-2093
(503) 933-6274
(503) 905-8423
Mailing address
16469 SE JASPER DR, DAMASCUS, OR 97089-9129
(503) 933-6274
(503) 905-8423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L4961
OR
Other
Enumeration date
09/25/2007
Last updated
08/17/2019
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