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

NPI #1972909463 in Monument, Colorado

Provider Information

NPI Number: 1972909463
Entity Type: Individual
Name: Timothy P O'connor, BA.,CAC I I
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: BA.,CAC I I
Enumeration Date: Nov 10, 2014
Last Updated: Feb 2, 2017

Practice Location

Address: 3065 MT. HERMAN RD.
City: Monument
State: Colorado
ZIP Code: 80132
Phone: (719) 322-7175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

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