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Organization

BRIDGE2DREAM, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID DOUGLAS FREEMAN MA, LPC (OWNER)
(719) 428-6018
Entity
Organization

Contact information

Practice address
6645 DELMONICO DR STE 103, COLORADO SPRINGS, CO 80919-1892
(719) 428-6018
Mailing address
PO BOX 31093, COLORADO SPRINGS, CO 80931-1093
(719) 428-6018

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
101YP2500X
Professional Counselor

Other

Enumeration date
11/16/2018
Last updated
11/16/2018
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