Individual
JOHN R FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC, CADC
Contact information
Practice address
110 APACHE DR, PAIGE, TX 78659-5014
(512) 284-0376
Mailing address
110 APACHE DR, PAIGE, TX 78659-5014
(512) 284-0376
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15089
TX
Other
Enumeration date
08/01/2020
Last updated
08/01/2020
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