MR. Timothy Patrick O'connell, IMH11386

NPI #1992189526 in Maitland, Florida

Provider Information

NPI Number: 1992189526
Entity Type: Individual
Name: MR. Timothy Patrick O'connell, IMH11386
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: IMH11386
Enumeration Date: Jul 14, 2015
Last Updated: Jul 14, 2015

Practice Location

Address: 430 E PACKWOOD AVE
Address 2: APT D106
City: Maitland
State: Florida
ZIP Code: 32751-5700
Phone: (407) 620-7287

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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