Organization
O'CONNELL, LONG AND ASSOCIATES COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN B O'CONNELL LCSW (SECRETARY/TREASURER)
(262) 278-6146
Entity
Organization
Contact information
Practice address
160 E GENEVA SQ, LAKE GENEVA, WI 53147-9694
(262) 278-6146
Mailing address
PO BOX 634, EAST TROY, WI 53120-0634
(262) 278-6146
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
WI
Other
Enumeration date
10/06/2006
Last updated
01/24/2020
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