Organization
FREEDOM MANAGEMENT
Active
Other names
SPARC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA LAWRENCE (CREDENTIALING SPECIALIST)
(502) 656-2429
Entity
Organization
Contact information
Practice address
50 LUDA ST, RUSSELL SPRINGS, KY 42642-4512
(270) 866-4174
Mailing address
50 LUDA ST, RUSSELL SPRINGS, KY 42642-4512
(270) 866-4174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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