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NPI Code Detail

MEDICARE: MARK JOHNSON OAKES

MEDICARE: MARK JOHNSON OAKES
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
1171M00000XCase Manager/Care Coordinator
2101YM0800XMental Health Counselor
3101YP2500XProfessional Counselor7250LA

General Provider Information

NPI Number : 1134665813
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK JOHNSON OAKES
Provider Business Mailing Address
First Line : 200 S BROAD ST STE 7
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-6447
Country : US
Telephone Number : 504-309-9991
Fax Number :
Provider Business Practice Location Address
First Line : 4300 S I 10 SERVICE RD W STE 215
Second Line :
City : METAIRIE
State : LA
Zip : 70001-7436
Country : US
Telephone Number : 504-301-9990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2017
Last Update Date : 03/07/2025

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Directions to “ MARK JOHNSON OAKES ” Practice Location

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