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NPI Code Detail

MEDICARE: BECKY FRIESLAND ODEN M.MFT

MEDICARE:   BECKY FRIESLAND ODEN  M.MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor17367TX
2106H00000XMarriage & Family Therapist5091TX

General Provider Information

NPI Number : 1407188972
Entity Type Code : Individual
Provider Name (Legal Business Name) : BECKY FRIESLAND ODEN M.MFT
Provider Business Mailing Address
First Line : 337 THOMAS DR
Second Line :
City : MURPHY
State : TX
Zip : 75094-3742
Country : US
Telephone Number : 469-261-4948
Fax Number :
Provider Business Practice Location Address
First Line : 1400 PRESTON RD
Second Line : SUITE 400
City : PLANO
State : TX
Zip : 75093-5186
Country : US
Telephone Number : 469-261-4948
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2010
Last Update Date : 02/08/2010

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Directions to “ BECKY FRIESLAND ODEN M.MFT” Practice Location

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