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General NPI Number Information
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NPI Number | 1578346664
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Entity Type | Organization
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Legal Business Name | OAK TREE COUNSELING, LLC
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 2280 E CALVADA BLVD STE 102
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City | PAHRUMP
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State | NV
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Zip | 89048-5846
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Country | US
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Telephone | 775-505-4411
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Fax | 775-201-0198
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Provider Business Mailing Address
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Address Line | 2280 E CALVADA BLVD STE 102
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City | PAHRUMP
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State | NV
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Zip | 89048-5846
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Country | US
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Telephone | 775-505-4411
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Fax | 775-201-0198
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Authorized Official
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Title or Position | CEO / PRESIDENT
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Name | MR. SCOTT ANTHONY OAKLEY
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Credential | MS, LMFT, LCADC-S
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Telephone | 702-934-5072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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