Individual
ELIJAH L FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
2500 E ENTERPRISE AVE STE B, APPLETON, WI 54913-8556
(920) 416-8577
(920) 416-8581
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2804
MN
101YM0800X
Mental Health Counselor
5175
WI
101YP2500X
Professional Counselor
Primary
10696
WI
Other
Enumeration date
01/11/2022
Last updated
01/27/2025
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