Individual
MR. ANDREW JACOB FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CSAC
Contact information
Practice address
17100 W NORTH AVE, BROOKFIELD, WI 53005-4436
(262) 244-6177
Mailing address
1035 W GLEN OAKS LN STE 110, MEQUON, WI 53092-3392
(262) 244-6177
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16116-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
17043-130
WI
1041C0700X
Clinical Social Worker
Primary
8678-123
WI
Other
Enumeration date
01/06/2014
Last updated
06/02/2021
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