Individual
JOHN L OAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1675 CURLEW DR, AMMON, ID 83406-4718
(208) 529-8835
(208) 522-8725
Mailing address
1675 CURLEW DR, AMMON, ID 83406-4718
(208) 529-8835
(208) 522-8725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4396
ID
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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