Doctor Name: | MR. ISAAC NEAL OAKS |
NPI Number: | 1699001628 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, LMHP, LPC |
License Number: | 510 |
Business Practice Address: | Hwys 77 /75 Ihs Hospital Winnebago, NE - 68071 |
Business Phone Number: | 4028782911 |
Business Fax Number: | 4028782027 |
Mailing Address: | Po Box 446, WINNEBAGO |
State: | NE |
Postal Code: | 680710446 |
Phone Number: | 4028782911 |
Fax Number: | 4028782027 |
NPI Enumeration Date: | 10/27/2009 |
NPI Last Update Date: | 10/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 510 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |