Individual
MR. KENT W FREELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IMFT,PCC-S,LMFT,LCPC
Contact information
Practice address
2675 MEDWAY NEW CARLISLE RD, MEDWAY, OH 45341-9744
(937) 849-1257
(937) 849-1336
Mailing address
1123 CHESTNUT ST, MOUNT CARMEL, IL 62863-1212
(618) 263-4970
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180-004315
IL
101YP2500X
Professional Counselor
E 09000386
OH
106H00000X
Marriage & Family Therapist
166-000606
IL
106H00000X
Marriage & Family Therapist
Primary
F0900002
OH
Other
Enumeration date
11/16/2006
Last updated
12/28/2023
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