Provider Demographics
NPI:1992324164
Name:O'CONNELL, CATHERINE MICHELE (LPC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MICHELE
Last Name:O'CONNELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 KEY WEST DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8426
Mailing Address - Country:US
Mailing Address - Phone:540-447-6051
Mailing Address - Fax:
Practice Address - Street 1:348 KEY WEST DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8426
Practice Address - Country:US
Practice Address - Phone:540-447-6051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional