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Individual

THERESA ROSE OCONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.P.C.

Contact information

Practice address
350 E 2100 S, SALT LAKE CITY, UT 84115-2266
(385) 246-3349
(801) 322-4002
Mailing address
5446 W KATHLEEN AVE, WEST VALLEY CITY, UT 84120-2712
(801) 859-9798

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP2500X
Professional Counselor
8634614-6004
UT
101YP2500X
Professional Counselor
Primary
8634614-6009
UT
101YP2500X
Professional Counselor
C5932
OR
171M00000X
Case Manager/Care Coordinator
6681105
UT

Other

Enumeration date
10/15/2010
Last updated
04/27/2021
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