Individual
SHANNON FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4077 JEFFERSON AVE, TEXARKANA, AR 71854-1509
(870) 330-9200
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 927-1764
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A1908021
AR
101YP2500X
Professional Counselor
Primary
P2106003
AR
Other
Enumeration date
09/10/2019
Last updated
08/29/2024
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