Provider Demographics
NPI:1861760399
Name:OCONNOR, DENISE MULCRONE (MS, LCPC)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:MULCRONE
Last Name:OCONNOR
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3832 DAHLGREN CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-4943
Mailing Address - Country:US
Mailing Address - Phone:410-302-0658
Mailing Address - Fax:
Practice Address - Street 1:2 W ROLLING CROSSROADS STE 209
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-6209
Practice Address - Country:US
Practice Address - Phone:410-719-0086
Practice Address - Fax:443-341-6218
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2430101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional