Doctor Name: | SUE BURDETTE O'NEILL |
NPI Number: | 1922380799 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 150 |
Business Practice Address: | 59468 Highway 49 Lineville, AL - 362664769 |
Business Phone Number: | 2562761451 |
Business Fax Number: | |
Mailing Address: | 88154 Highway 9, Po Pox 366 LINEVILLE |
State: | AL |
Postal Code: | 362666932 |
Phone Number: | 2562761451 |
Fax Number: | 2563965977 |
NPI Enumeration Date: | 09/16/2011 |
NPI Last Update Date: | 06/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 150 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |