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NPI Code Detail

MEDICARE: MR. ROBERT J OAKS LPCC-S

MEDICARE: MR. ROBERT J OAKS LPCC-S
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
1101YA0400XAddiction (Substance Use Disorder) CounselorE0501199-SUPVOH
2101Y00000XCounselorE0501199-SUPVOH

General Provider Information

NPI Number : 1811155617
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT J OAKS LPCC-S
Provider Business Mailing Address
First Line : 3433 AGLER RD STE 2100
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-3389
Country : US
Telephone Number : 614-599-6869
Fax Number :
Provider Business Practice Location Address
First Line : 3433 AGLER RD STE 2100
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-3389
Country : US
Telephone Number : 614-599-6869
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2008
Last Update Date : 12/21/2020

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