Individual
DETRICA FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LAC
Contact information
Practice address
5914 PARKBRIER CT, BATON ROUGE, LA 70816-6118
(225) 806-6510
Mailing address
5914 PARKBRIER CT, BATON ROUGE, LA 70816-6118
(225) 806-6510
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
007002232
LA
101YP2500X
Professional Counselor
Primary
7943
LA
171M00000X
Case Manager/Care Coordinator
—
LA
Other
Enumeration date
03/06/2017
Last updated
09/26/2023
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