Individual
MR. KENNETH WAYNE FREEMAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
102 SPRUCE ST SE, FOUNTAIN, MN 55935-8825
(507) 884-2456
Mailing address
102 SPRUCE ST SE, FOUNTAIN, MN 55935-8825
(507) 884-2456
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004515A
IN
101YP2500X
Professional Counselor
02712
MN
Other
Enumeration date
01/26/2023
Last updated
07/10/2024
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