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Individual

ANDREA MARIA KELLEY-FREEMAN

Active
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Individual

ANDREA MARIA KELLEY-FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC8776
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA2304
MD
101YM0800X
Mental Health Counselor
LC8776
MD
101YP2500X
Professional Counselor
LCA2304
MD
101YS0200X
School Counselor
LC8776
MD
405300000X
Prevention Professional
LCA2304
MD

Other

Enumeration date
12/20/2013
Last updated
06/07/2023
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