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FENNEC CLYDE OAK
NPI 1477075398
Counselor in Olympia, WA

Active since July 12, 2017
1011 10TH AVE SE, OLYMPIA, WA 98501(360) 878-8248 Get Directions Write a Review

NPPES record last updated: July 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fennec Clyde Oak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FENNEC CLYDE OAK (NPI 1477075398) is an individual counselor in Olympia, Washington and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1477075398
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameFENNEC CLYDE OAK
Location Address1011 10TH AVE SEOlympia, WA 98501
Mailing Address1011 10th Ave SeOlympia, WA 98501-1566
Phone(360) 878-8248
Sole ProprietorNo
Enumeration DateJuly 12, 2017
✔ NPI 1477075398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1011 10TH AVE SE, Olympia, WA 98501
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELBY ANN WISE
Counselor
1011 10TH AVE SE
OLYMPIA, WA 98501
Thurston County (360) 819-0546
MARIA LYNN MULLIGAN
Social Worker
1011 10TH AVE SE
OLYMPIA, WA 98501
Thurston County (360) 878-8428
SCOTT MANLEY
Counselor
1011 10TH AVE SE
OLYMPIA, WA 98501
Thurston County (360) 878-8248
CRYSTAL EVANS
Counselor
1011 10TH AVE SE
OLYMPIA, WA 98501
Thurston County (360) 878-8248
DUPRE ROUSE
Marriage & Family Therapist
1011 10TH AVE SE
OLYMPIA, WA 98501
Thurston County (360) 878-8248
IMMANUEL GARRAWAY
Counselor
1011 10TH AVE SE
OLYMPIA, WA 98501
Thurston County (360) 878-8248
LAUREN GROULIK
Counselor
1011 10TH AVE SE
OLYMPIA, WA 98501
Thurston County (360) 489-2979
LISA PORSCHE
Counselor
1011 10TH AVE SE
OLYMPIA, WA 98501
Thurston County (360) 878-8248

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fennec Oak's NPI number?

The NPI number for Fennec Oak is 1477075398. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Where is Fennec Oak located?

Fennec Oak practices at 1011 10th Ave SE, Olympia, WA 98501. The listed phone number is (360) 878-8248.

What is Fennec Oak's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Fennec Oak was last updated on July 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.