Individual
COLLEEN MARIE ONEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
Mailing address
7133 RICE LAKE LN, LINO LAKES, MN 55014-1206
(612) 810-6304
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304386
MN
Other
Enumeration date
01/03/2016
Last updated
01/03/2016
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