Lisa Ann O'Neil, LMFT

Individual provider Active NPI Marriage & Family Therapist · Goshen, CT

NPI 1811208473 · NPPES record last updated Feb 27, 2020

Key facts

NPI
1811208473
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
001478 (CT)
Practice address
9 North St
Goshen, CT 06756-1510
Phone
(860) 307-5361
Fax
(860) 491-9136
NPI assigned
Jun 29, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
001478CTMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001478 CT Yes

Addresses

Primary practice location

9 North St
Goshen, CT 06756-1510

Mailing address

9 North St
Goshen, CT 06756-1510
Phone (860) 307-5361

Other providers in Goshen, CT

All providers in Goshen, CT · Marriage & Family Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.