O'Connell, Kristen

O'Connell, Kristen is an individual health care provider with primary practice located at 49 Pavilion Ave Suite 105, Providence RI 02905-1534. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. O'Connell, Kristen can be contacted via phone (401) 490-8930.

Contact Information

Primary practice address
49 Pavilion Ave Suite 105 Providence RI 02905-1534
Phone: (401) 490-8930
Fax: (401) 490-8930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC00180 Rhode Island

Profile Details

NPI number 1235185034
LBN Legal business name O'Connell, Kristen
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Sep 5th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235185034 NPPES
Rhode Island MEDICAID KM46155

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