Provider Demographics
NPI:1538285978
Name:O'CONNELL, JAMES M (LPC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:O'CONNELL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 STRAIGHT ST FL 3
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-1060
Mailing Address - Country:US
Mailing Address - Phone:513-721-0990
Mailing Address - Fax:513-721-5313
Practice Address - Street 1:415 STRAIGHT ST FL 3
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-1060
Practice Address - Country:US
Practice Address - Phone:513-721-0990
Practice Address - Fax:513-721-5313
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0002325101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health