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Individual
MR. JOHN CASEY FRIEDECK
Active
Individual
MR. JOHN CASEY FRIEDECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AMFT, APCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
111707
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578772323
TELECARE CORPORATION
CA
Enumeration date
08/12/2019
Last updated
02/27/2020
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