Individual
STACY FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4969 HIGHWAY 101 UNIT 3, FLORENCE, OR 97439-7803
(541) 393-0777
Mailing address
78 CENTENNIAL PLAZA UNIT A, EUGENE, OR 97401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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