Organization
KATHY O'CONNELL, LMFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN MARY O'CONNELL LMFT (OWNER)
(610) 256-6022
Entity
Organization
Contact information
Practice address
373 E MAIN ST STE 101, COLLEGEVILLE, PA 19426-2600
(610) 256-6022
Mailing address
341 MULBERRY DR, ROYERSFORD, PA 19468-1272
(610) 256-6022
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000880
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-3089734
NPI-1
PA
Enumeration date
09/06/2017
Last updated
09/06/2017
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