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Individual

MR. JUSTIN M OCONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
9292 N MERIDIAN ST STE 311, INDIANAPOLIS, IN 46260-1828
(317) 605-9772
Mailing address
5006 KNOLL CREST CT, INDIANAPOLIS, IN 46228-2159
(317) 605-9772

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002475A
IN

Other

Enumeration date
03/26/2021
Last updated
03/26/2021
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