Individual provider · Type 1 NPI
Jennifer Thor O'Connell, M.A.
Mental Health Counselor · Avon, NC
NPI number
1548667983
Active
Practice location
41838 Nc 12, Ste 104
Avon, NC 27915
Fax (252) 995-3340
Mailing address
PO Box 274
Buxton, NC 27920-0274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 14375 (NC) |
Mental Health Counselor: Definition to come...
About NPI 1548667983
Jennifer Thor O'Connell, M.A.'s National Provider Identifier is 1548667983, issued on Dec 1, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Avon, NC. The record was last updated on Oct 31, 2024.