Provider Demographics
NPI:1770778680
Name:O'CONNELL, CATHERINE (MED, LMHC, LADCI)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:O'CONNELL
Suffix:
Gender:F
Credentials:MED, LMHC, LADCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 PARNELL ST
Mailing Address - Street 2:
Mailing Address - City:NORTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02191-2121
Mailing Address - Country:US
Mailing Address - Phone:781-340-9031
Mailing Address - Fax:
Practice Address - Street 1:16 PARNELL ST
Practice Address - Street 2:
Practice Address - City:NORTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02191-2121
Practice Address - Country:US
Practice Address - Phone:781-340-9031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1141101YA0400X
MA3696101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)