Doctor Name: | MS. GINGER MORTIMER O'CONNELL |
NPI Number: | 1023148624 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 919 |
Business Practice Address: | 213 W John St Martinsburg, WV - 254013221 |
Business Phone Number: | 3042630345 |
Business Fax Number: | 3042630367 |
Mailing Address: | 213 W John St, MARTINSBURG |
State: | WV |
Postal Code: | 254013221 |
Phone Number: | 3042630345 |
Fax Number: | 3042630367 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 919 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |