Individual
MR. CODY LEWIS OAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
1302 2ND ST NE STE 210, MINNEAPOLIS, MN 55413-2993
(612) 405-0830
(763) 999-5972
Mailing address
1302 2ND ST NE STE 210, MINNEAPOLIS, MN 55413-2993
(612) 405-0830
(763) 999-5972
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC01877
MN
Other
Enumeration date
09/18/2018
Last updated
03/13/2020
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