Individual
MICAH JAMES FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, PPSC
Contact information
Practice address
555 HOSPITAL LN, SUSANVILLE, CA 96130-4808
(530) 251-8721
Mailing address
555 HOSPITAL LN, SUSANVILLE, CA 96130-4808
(530) 251-8721
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
180097326
CA
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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