Provider Demographics
NPI:1568650109
Name:O'CONNELL, HEATHER
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:
Last Name:O'CONNELL
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:MARSHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 WILLIAMSBURG LN
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2225
Mailing Address - Country:US
Mailing Address - Phone:541-914-3977
Mailing Address - Fax:
Practice Address - Street 1:11 WILLIAMSBURG LN
Practice Address - Street 2:SUITE B
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2225
Practice Address - Country:US
Practice Address - Phone:541-914-3977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2021-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health