Healthcare Provider Details

I. General information

NPI: 1184162018
Provider Name (Legal Business Name): JENNIFER ELIZABETH OAKS MS LPC CAADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2017
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 SHARON RD STE 2
BEAVER PA
15009-3147
US

IV. Provider business mailing address

701 SHARON RD STE 2
BEAVER PA
15009-3147
US

V. Phone/Fax

Practice location:
  • Phone: 724-601-6704
  • Fax:
Mailing address:
  • Phone: 724-494-6750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number9020
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number6516
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: