Individual
MS. SELENA FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCADC
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30045-8444
(770) 339-5377
(770) 339-5016
Mailing address
1150 SIGMAN RD NE, #F44, CONYERS, GA 30012-3806
(770) 648-6527
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C0023
GA
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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