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Individual

JOHN CALVIN O'NEIL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, LADC

Contact information

Practice address
86 CHERRY ST FL 2, MILFORD, CT 06460-3413
(203) 249-7837
Mailing address
86 CHERRY ST FL 2, MILFORD, CT 06460-3413
(203) 249-7837

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001419
CT
1041C0700X
Clinical Social Worker
Primary
012916
CT
1041C0700X
Clinical Social Worker
089.0136543TELE
VT

Other

Enumeration date
12/10/2024
Last updated
10/03/2025
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