O'Donnell, Christine T
O'Donnell, Christine T is an individual health care provider with primary practice located at 5626 N 91St St Ste 301 , Milwaukee WI 53225-2745. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. O'Donnell, Christine T can be contacted via phone (414) 461-1088.Contact Information
Primary practice address
5626 N 91St St Ste 301
Milwaukee WI 53225-2745
Phone: (414) 461-1088
Fax: (414) 461-1049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 160123 | Wisconsin |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 160123 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 160123 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 160123 | Wisconsin |
Profile Details
| NPI number | 1073736617 |
|---|---|
| LBN Legal business name | O'Donnell, Christine T |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Aug 31st, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073736617 | NPPES |
| Wisconsin | MEDICAID | 40983900 | |
| Wisconsin | Other | 160123 |
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