Individual
MR. KEVIN JAMES O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA.
Contact information
Practice address
16 BAYVIEW RD, DURHAM, NH 03824-2406
(603) 397-5028
(603) 889-9639
Mailing address
16 BAYVIEW ROAD, DURHAM, NH 03824-2406
(603) 397-5028
(603) 889-9639
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0918AL
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
457
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
769
MA
101YM0800X
Mental Health Counselor
341
NH
101YM0800X
Mental Health Counselor
3790
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30420903
—
NH
Enumeration date
01/30/2007
Last updated
09/11/2025
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