Anthony Jerome Freeman LPC

NPI 1467723833 - Counselor - 101YM0800X

NPI Details
NPI 1467723833
Gender Male
Enumeration Date 01/18/2012
Last Updated 01/18/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
120 GORDON COMMERCIAL DR STE B
LAGRANGE GA, 30240-5753, US
Phone (706) 845-4054
Fax (706) 845-4430
Business Location
114 W GREENWICH CIR
LAGRANGE GA, 30241-7610, US
Phone (706) 402-3417
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Georgia
License Number LPC006046
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According to our database, Mr. Anthony Jerome Freeman LPC NPI is 1467723833, taxonomy code is 101YM0800X and license number is LPC006046, license state is located at Georgia. Anthony Jerome Freeman LPC physically located at 120 Gordon Commercial Dr Ste B, Lagrange GA, 30240-5753. NPI Number Anthony Jerome Freeman LPC has the Individual type.

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1467723833 NPI number is provided on an as is basis without warranty of any kind. 1467723833 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Jerome Freeman LPC are for informational purposes only.