Individual
SUE BURDETTE O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
59468 HIGHWAY 49, LINEVILLE, AL 36266-4769
(256) 276-1451
Mailing address
88154 HIGHWAY 9, PO POX 366, LINEVILLE, AL 36266-6932
(256) 276-1451
(256) 396-5977
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
150
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3390-08171
STATE OF ALABAMA MEDICAID PARTICIPANT NUMBER - CALHOUN COUNTY
AL
01
—
3390-14038
STATE OF ALABAMA MEDICAID PARTICIPANT NUMBER - CLAY COUNTY
AL
01
—
3390-15030
STATE OF ALABAMA MEDICAID PARTICIPANT NUMBER - CLEBURNE COUNTY
AL
01
—
3390-19041
STATE OF ALABAMA MEDICAID PARTICIPANT NUMBER - COOSA COUNTY
AL
01
—
3390-56039
STATE OF ALABAMA MEDICAID PARTICIPANT NUMBER - RANDOLPH COUNTY
AL
01
—
3390-58050
STATE OF ALABAMA MEDICAID PARTICIPANT NUMBER - ST. CLAIR COUNTY
AL
Enumeration date
09/16/2011
Last updated
06/25/2012
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