Provider Demographics
NPI:1033826599
Name:OCONNOR, CHRISTINE MARIE (MSW, LICSW, MLADC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MARIE
Last Name:OCONNOR
Suffix:
Gender:F
Credentials:MSW, LICSW, MLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 HALFMOON POND RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03280-3102
Mailing Address - Country:US
Mailing Address - Phone:603-477-4729
Mailing Address - Fax:
Practice Address - Street 1:85 HALFMOON POND RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NH
Practice Address - Zip Code:03280-3102
Practice Address - Country:US
Practice Address - Phone:603-477-4729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH9011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical