MEDICARE: DR. JAMES H ONEILL LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	#138	LA

General Provider Information

NPI Number	:	1598866295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES H ONEILL LPC

Provider Business Mailing Address
First Line	:	3330 W ESPLANADE AVE S
Second Line	:	SUITE 512
City	:	METAIRIE
State	:	LA
Zip	:	70002-3454
Country	:	US
Telephone Number	:	504-835-4340
Fax Number	:

Provider Business Practice Location Address
First Line	:	3330 W ESPLANADE AVE S
Second Line	:	SUITE 512
City	:	METAIRIE
State	:	LA
Zip	:	70002-3454
Country	:	US
Telephone Number	:	504-835-4340
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/08/2007

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