Organization
ALCOHOL AND DRUG FREEDOM CENTER OF KNOX COUNTY
Active
Other names
FREEDOM CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFET KILINC PH.D., LPCC-S (EXECUTIVE DIRECTOR)
(740) 397-2660
Entity
Organization
Contact information
Practice address
106 E GAMBIER ST, MOUNT VERNON, OH 43050-3510
(740) 397-2660
(740) 392-3613
Mailing address
106 E GAMBIER ST, MOUNT VERNON, OH 43050-3510
(740) 397-2660
(740) 392-3613
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1311
OH
251S00000X
Community/Behavioral Health Agency
Primary
01-7560
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1311
—
OH
01
—
35842
MBC (MERIT/BIODYNE)
OH
01
—
3908853
FDA ID#
OH
01
—
45660
ODADAS AGENCY NUMBER
OH
01
—
62-15262
PHP/UBS NUMBER
OH
01
—
729264
BWC
OH
01
—
LICKBO131199
PSEUDO UCI
OH
01
—
OH750732-00
NFR ID
OH
Enumeration date
02/28/2006
Last updated
01/24/2025
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