Provider Demographics
NPI:1841443652
Name:ONEILL, KATHERINE ANN (LCPC)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:ANN
Last Name:ONEILL
Suffix:
Gender:F
Credentials:LCPC
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Mailing Address - Street 1:3738 HARRISON AVE
Mailing Address - Street 2:ALTACARE
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-6823
Mailing Address - Country:US
Mailing Address - Phone:406-287-3882
Mailing Address - Fax:406-497-7918
Practice Address - Street 1:105 N WHITEHALL ST
Practice Address - Street 2:ALTACARE
Practice Address - City:WHITEHALL
Practice Address - State:MT
Practice Address - Zip Code:59759-7713
Practice Address - Country:US
Practice Address - Phone:406-287-3882
Practice Address - Fax:406-497-7918
Is Sole Proprietor?:No
Enumeration Date:2008-10-24
Last Update Date:2014-09-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MT1576101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health