Individual
MR. CORTLANDT GRANT FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
649 PERRIN AVE, LAFAYETTE, IN 47904-2669
(765) 237-9561
Mailing address
649 PERRIN AVE, LAFAYETTE, IN 47904-2669
(765) 237-9561
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39004672A
IN
Other
Enumeration date
04/07/2021
Last updated
11/01/2023
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