Individual
DENNIS M ONEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC III
Contact information
Practice address
839 S CIRCLE DR, COLORADO SPRINGS, CO 80910-2326
(719) 578-5433
Mailing address
PO BOX 38691, COLORADO SPRINGS, CO 80937-8691
(719) 429-7563
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC2536
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669731022
—
CO
Enumeration date
12/31/2020
Last updated
12/31/2020
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