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Provider Information for 1982234993


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GOLDIE M OAKES LPC


Sex: Female

NPI: 1982234993
Last Updated: 2020-01-17
Certification Date: 2020-01-17

Details

NameValue
NPI1982234993
Enumeration Date2020-01-17
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 248
FARMVILLE, VA 23901-0248
United States

Phone: 434-392-3187 | Fax:434-391-1238
 
Primary Practice Address 214 BUSH RIVER DR
FARMVILLE, VA 23901-3179
United States

Phone: 434-392-3187 | Fax:434-391-1238
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalVA0701008911