Individual
MR. THOMAS WALTER O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA.
Contact information
Practice address
659 BIELENBERG DR STE 100, WOODBURY, MN 55125-1707
(651) 259-9700
(763) 315-4669
Mailing address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(763) 762-8800
(763) 315-4669
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCOO170
MN
Other
Enumeration date
07/19/2010
Last updated
11/16/2020
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