| Organization Name: | TERRI O'DONNELL LPC SASA LLC |
| NPI Number: | 1356630040 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERESA ANNE O'DONNELL (OWNER) |
| Mailing Address: | 802 W Broadway Suite 206 Monona |
| State: | WI US |
| Postal Code: | 537131821 |
| Phone Number: | 6083475015 |
| Fax Number: | |
| NPI Enumeration Date: | 04/03/2011 |
| NPI Last Update Date: | 04/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 4013-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |