TIM O'CONNELL

FONTANA, CA
NPI1972040061
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2017-01-26
Last Update Date2023-09-21
Business Address
TIM O'CONNELL RADT
14677 MERRILL AVE
FONTANA, CA 92335-4219
Phone number: 951-643-2340
Mailing Address
TIM O'CONNELL RADT
2085 RUSTIN AVE
RIVERSIDE, CA 92507-2498
Phone number: 951-955-7620
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