Provider Demographics
NPI:1619663192
Name:OAKES, CYDNEY KATHLEEN (LPC)
Entity Type:Individual
Prefix:
First Name:CYDNEY
Middle Name:KATHLEEN
Last Name:OAKES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CYDNIE
Other - Middle Name:KATHLEEN
Other - Last Name:OAKES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:6066 STRATHMOOR DR # C2
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-6633
Mailing Address - Country:US
Mailing Address - Phone:872-246-1580
Mailing Address - Fax:
Practice Address - Street 1:6066 STRATHMOOR DR # C2
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-6633
Practice Address - Country:US
Practice Address - Phone:872-246-1580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.019027101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health