Individual
VIRGIL ALLEN FREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
ICAS, INC., 1275 JAMES DRIVE SUITE A, ENTERPRISE, AL 36330
(334) 308-1940
Mailing address
191 BARBARA DR, OZARK, AL 36360-7019
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2030
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51526989
BCBS
AL
Enumeration date
07/05/2006
Last updated
07/08/2007
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