Individual
MARK OAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
127 ALEC DR, GIRARD, GA 30426-4371
(630) 728-6514
Mailing address
127 ALEC DR, GIRARD, GA 30426-4371
(630) 728-6514
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC013128
GA
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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