Healthcare Provider Details

I. General information

NPI: 1144711698
Provider Name (Legal Business Name): ANNA CAROLYN OCONNELL LPCC, BC-DMT, GL-CMA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2018
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2970 CAMINO DIABLO STE 300
WALNUT CREEK CA
94597-4001
US

IV. Provider business mailing address

2970 CAMINO DIABLO STE 300
WALNUT CREEK CA
94597-4001
US

V. Phone/Fax

Practice location:
  • Phone: 925-282-1778
  • Fax:
Mailing address:
  • Phone: 925-282-1778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4672
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4672
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: