Individual
MR. KEITH MICHAEL O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, APRN
Contact information
Practice address
88 RIDGEVIEW AVE, TRUMBULL, CT 06611-1937
(203) 520-6111
Mailing address
88 RIDGEVIEW AVE, TRUMBULL, CT 06611-1937
(203) 520-6111
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1455
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
16107
CT
Other
Enumeration date
06/13/2008
Last updated
12/24/2025
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