| Kathleen Oconnell, | |
|
355 S Madison Blvd, Suite C, Roxboro, NC 27573 | |
| (336) 599-8366 | |
| Not Available |
| Full Name | Kathleen Oconnell |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 355 S Madison Blvd, Roxboro, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710365192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 20850 (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | A11057 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mona R Gupta Do Incorporated | 8628386174 | 24 |
| Entity Name | Mona R Gupta DO Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205134731 PECOS PAC ID: 8628386174 Enrollment ID: O20151001002477 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Oconnell, 355 S Madison Blvd Ste C, Roxboro, NC 27573-5485 Ph: Not Available | Kathleen Oconnell, 355 S Madison Blvd, Suite C, Roxboro, NC 27573 Ph: (336) 599-8366 |
Charles Bartlett Jackson Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 355 S Madison Blvd Ste C1, Roxboro, NC 27573 Phone: 336-599-8366 Fax: 336-322-6168 |
Sandra Wilson Wilbourne, MS, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Court St, Roxboro, NC 27573 Phone: 919-339-1585 Fax: 434-374-5396 |
Ms. Marcia Wilcox Brandon, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 355 S Madison Blvd Ste C, Roxboro, NC 27573 Phone: 336-234-9968 |
Mrs. Amanda Bloom, M.ED., NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 355 S Madison Blvd, Suite C1, Roxboro, NC 27573 Phone: 336-599-8366 Fax: 336-322-6168 |
Mrs. Winstona Daisy Cole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 355 S Madison Blvd, Roxboro, NC 27573 Phone: 336-599-8366 |
Ms. Terri Ann Hamrick, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 33 Abbitt St, Suite 108, Roxboro, NC 27573 Phone: 336-599-7473 Fax: 336-599-5428 |
Martha Mellette Pickett, CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 355 C1 Madison Blvd., Roxboro, NC 27573 Phone: 336-599-8366 Fax: 336-322-6168 |