Provider Demographics
NPI:1124547591
Name:O'SHEA, MAUREEN C (LPC)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:C
Last Name:O'SHEA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:C
Other - Last Name:HUTCHCRAFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:810 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:KEWAUNEE
Mailing Address - State:WI
Mailing Address - Zip Code:54216-1140
Mailing Address - Country:US
Mailing Address - Phone:920-388-7030
Mailing Address - Fax:920-388-7124
Practice Address - Street 1:810 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:KEWAUNEE
Practice Address - State:WI
Practice Address - Zip Code:54216-1140
Practice Address - Country:US
Practice Address - Phone:920-388-7030
Practice Address - Fax:920-388-7124
Is Sole Proprietor?:No
Enumeration Date:2017-09-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6656-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional