O'Connor, Kevin Robert

O'Connor, Kevin Robert is an sole proprietor health care provider with primary practice located at 965 E Yosemite Ave Suite # 12, Manteca CA 95336-5938. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. O'Connor, Kevin Robert can be contacted via phone (209) 404-0196.

Contact Information

Primary practice address
965 E Yosemite Ave Suite # 12 Manteca CA 95336-5938
Phone: (209) 404-0196
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC41168 California

Profile Details

NPI number 1235291469
LBN Legal business name O'Connor, Kevin Robert
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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