Individual
MR. MICHAEL LEE FREYTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1200 N WEST AVE, SUITE 400, JACKSON, MI 49202-2179
(517) 474-3793
(517) 796-4561
Mailing address
214 N DURAND ST, JACKSON, MI 49202-4119
(517) 474-3793
(517) 796-4561
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401000462
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401000462
LICENSE
MI
Enumeration date
04/14/2007
Last updated
07/08/2007
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