Individual
MR. ANTHONY JEROME FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
120 GORDON COMMERCIAL DR STE B, LAGRANGE, GA 30240-5753
(706) 845-4054
(706) 845-4430
Mailing address
114 W GREENWICH CIR, LAGRANGE, GA 30241-7610
(706) 402-3417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC006046
GA
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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