Individual
MEGAN O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
140 BROADWAY, SOUTH PORTLAND, ME 04106
(201) 575-3480
Mailing address
134 BLACK POINT RD, SCARBOROUGH, ME 04074-8323
(201) 575-3480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00229800
NJ
101YM0800X
Mental Health Counselor
Primary
CC4861
ME
Other
Enumeration date
12/12/2016
Last updated
05/10/2018
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