Provider Demographics
NPI:1114143617
Name:SCULLY-OAKES, VICTORIA ANN (EDD, LPC)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:ANN
Last Name:SCULLY-OAKES
Suffix:
Gender:F
Credentials:EDD, LPC
Other - Prefix:DR
Other - First Name:VICTORIA
Other - Middle Name:ANN
Other - Last Name:SCULLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EDD, LPC
Mailing Address - Street 1:209 EAST ST
Mailing Address - Street 2:C
Mailing Address - City:MORRIS
Mailing Address - State:CT
Mailing Address - Zip Code:06763-1829
Mailing Address - Country:US
Mailing Address - Phone:860-567-3300
Mailing Address - Fax:860-567-3300
Practice Address - Street 1:209 EAST ST
Practice Address - Street 2:C
Practice Address - City:MORRIS
Practice Address - State:CT
Practice Address - Zip Code:06763-1829
Practice Address - Country:US
Practice Address - Phone:860-567-3300
Practice Address - Fax:860-567-3300
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001321101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional