Doctor Name: | THERESA OAKLAND |
NPI Number: | 1295766152 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. LAC |
License Number: | 1023 |
Business Practice Address: | 802 Main St Ste C Polson, MT - 598603200 |
Business Phone Number: | 4068837310 |
Business Fax Number: | 4068837312 |
Mailing Address: | 802 Main St Ste C, POLSON |
State: | MT |
Postal Code: | 598603200 |
Phone Number: | 4068837310 |
Fax Number: | 4068837312 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1023 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |