Doctor Name: | MS. DIANE MARY OAKES |
NPI Number: | 1003090044 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. MFT |
License Number: | MFC#32990 |
Business Practice Address: | 973 Vale Terrace Dr Suite #206 Vista, CA - 920845251 |
Business Phone Number: | 7605266076 |
Business Fax Number: | |
Mailing Address: | 973 Vale Terrace, Suite #206 VISTA |
State: | CA |
Postal Code: | 92084 |
Phone Number: | 7605266076 |
Fax Number: | |
NPI Enumeration Date: | 12/27/2007 |
NPI Last Update Date: | 12/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFC#32990 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |