Provider Demographics
NPI:1942466891
Name:O'NEALL, ALETHA MARCELLE
Entity Type:Individual
Prefix:MS
First Name:ALETHA
Middle Name:MARCELLE
Last Name:O'NEALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 S MACLEOD AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-1525
Mailing Address - Country:US
Mailing Address - Phone:360-435-7365
Mailing Address - Fax:
Practice Address - Street 1:211 S MACLEOD AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1525
Practice Address - Country:US
Practice Address - Phone:360-435-7365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health