Individual
MS. JENNIFER THOR O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
41838 NC 12, STE 104, AVON, NC 27915
(252) 996-0706
(252) 995-3340
Mailing address
PO BOX 274, BUXTON, NC 27920-0274
(919) 280-5031
(252) 995-3340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14375
NC
Other
Enumeration date
12/01/2014
Last updated
10/31/2024
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