Individual
MR. MICHAEL KELLY O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
201 W BOYD DR, 105D, ALLEN, TX 75013-2582
(972) 359-1600
(972) 359-9558
Mailing address
201 W BOYD DR, 105D, ALLEN, TX 75013-2582
(972) 359-1600
(972) 359-9558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6720
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
561033
VALUE OPTIONS
TX
Enumeration date
03/26/2007
Last updated
07/08/2007
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