Individual
JAKE FREISHTAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4549 CHAMBLEE DUNWOODY RD, ATLANTA, GA 30338-6210
(770) 677-9341
Mailing address
306 N KENSINGTON AVE, LA GRANGE PARK, IL 60526-1870
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MSW011282
GA
Other
Enumeration date
07/30/2020
Last updated
07/26/2023
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