Individual provider · Type 1 NPI

Merrick O'Connell, LCSW

Mental Health Counselor · Lansing, IL

NPI number 1861719973 Active

Practice location

1955 Bernice Rd Ste 1NW
Lansing, IL 60438-6049

Fax (708) 474-7615

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X149.011664 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1861719973

Merrick O'Connell, LCSW's National Provider Identifier is 1861719973, issued on Apr 28, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lansing, IL. The record was last updated on Apr 28, 2010.