Individual provider · Type 1 NPI

Timothy P. O'Connor, BA., CAC I I

Addiction (Substance Use Disorder) Counselor · Monument, CO

NPI number 1972909463 Active

Practice location

3065 Mt. Herman Rd.
Monument, CO 80132

Mailing address

3065 Mount Herman Rd
Monument, CO 80132-8196

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACB.0008017 (CO)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1972909463

Timothy P. O'Connor, BA., CAC I I's National Provider Identifier is 1972909463, issued on Nov 10, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Monument, CO. The record was last updated on Feb 2, 2017.