Provider Demographics
NPI:1083969646
Name:O'NEILL, DEIRDRE L (LPC, LMHC, BCN)
Entity type:Individual
Prefix:
First Name:DEIRDRE
Middle Name:L
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:LPC, LMHC, BCN
Other - Prefix:
Other - First Name:DEE
Other - Middle Name:
Other - Last Name:O'NEILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:250 OHUA AVE APT 10G
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-3678
Mailing Address - Country:US
Mailing Address - Phone:972-638-7689
Mailing Address - Fax:
Practice Address - Street 1:250 OHUA AVE APT 10G
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-3678
Practice Address - Country:US
Practice Address - Phone:972-638-7689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-19
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64182101YP2500X
HI1007101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional