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Individual

MR. RYAN G. O'CONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
9 CHURCH ST, ARLINGTON, VT 05250-4457
(802) 375-6566
(802) 375-6828
Mailing address
1457 BAKER AVE, SCHENECTADY, NY 12309-5222
(631) 690-7023

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
089.0136504
VT
1041C0700X
Clinical Social Worker
098950
NY
1041C0700X
Clinical Social Worker
Primary
098950-01
NY

Other

Enumeration date
12/03/2024
Last updated
03/29/2026
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