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General NPI Number Information
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NPI Number | 1932834033
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Entity Type | Organization
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Legal Business Name | THE OAKS COUNSELING CENTER
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Dates
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Enumeration Date | 07/21/2022
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 362 COLONIAL RD
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City | ROGERSVILLE
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State | TN
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Zip | 37857-3446
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Country | US
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Telephone | 423-500-1056
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Fax | 423-500-1057
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Provider Business Mailing Address
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Address Line | 362 COLONIAL RD
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City | ROGERSVILLE
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State | TN
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Zip | 37857-3446
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Country | US
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Telephone | 423-500-1056
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Fax | 423-500-1057
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Authorized Official
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Title or Position | OWNER
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Name | MS. JESSICA LEIGH OWEN
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Credential | LMFT
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Telephone | 423-500-1056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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