Individual
EDNA BERNICE WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT-ASSOCIATE
Contact information
Practice address
2770 MAIN ST STE 142, FRISCO, TX 75033-4360
(214) 606-7523
Mailing address
3204 LAKEVIEW BLVD, DENTON, TX 76208-4452
(817) 966-7384
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
204934
TX
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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