Individual
JASON ODEGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
9900 BROADWAY EXT STE 100, OKLAHOMA CITY, OK 73114-6323
(405) 286-0755
(405) 254-3101
Mailing address
9900 BROADWAY EXT STE 100, OKLAHOMA CITY, OK 73114-6323
(405) 286-0755
(405) 254-3101
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1362
OK
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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