Individual
ANDREA LYNN O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 ROUTE 27 STE 10, RAYMOND, NH 03077-1273
(802) 227-4011
Mailing address
1 HEAVENS WAY, BERKLEY, MA 02779-1148
(774) 319-7984
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13061
MA
Other
Enumeration date
09/24/2013
Last updated
11/21/2024
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