Provider Demographics
NPI:1710133368
Name:OAKES, CYDNIA BROOKE (LADC)
Entity Type:Individual
Prefix:MS
First Name:CYDNIA
Middle Name:BROOKE
Last Name:OAKES
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 N. LINCOLN BLVD. 1ST FLOOR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73105
Mailing Address - Country:US
Mailing Address - Phone:405-425-0408
Mailing Address - Fax:405-419-3055
Practice Address - Street 1:4300 N LINCOLN BLVD FL 1
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-5107
Practice Address - Country:US
Practice Address - Phone:405-425-0408
Practice Address - Fax:405-419-3055
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1081101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)