Individual
MR. FREEMAN R. COREY
Active
Individual
MR. FREEMAN R. COREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LADC, CCS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCS3537
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC901
ME
1041C0700X
Clinical Social Worker
Primary
LC3744
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098153
ANTHEM BCBS NUMBER
ME
05
—
431586399
—
ME
Enumeration date
12/04/2006
Last updated
02/02/2016
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