Individual
KEVIN ROBERT O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC, MFT-IT, NCC
Contact information
Practice address
353 FOREST GROVE DR STE 100, PEWAUKEE, WI 53072-3765
(262) 470-9131
Mailing address
353 FOREST GROVE DR STE 100, PEWAUKEE, WI 53072-3765
(262) 470-9131
(262) 691-2972
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11090-225
WI
Other
Enumeration date
05/31/2023
Last updated
09/10/2024
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