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Individual

TAMMY O FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDD, LPC, LCADC

Contact information

Practice address
96 COOLIDGE ST, IRVINGTON, NJ 07111
(201) 532-2830
Mailing address
671 HOES LN W, PISCATAWAY, NJ 08854-8021

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00275000
NJ
101YM0800X
Mental Health Counselor
003338-1
NY
101YP2500X
Professional Counselor
Primary
37PC00478500
NJ
101YP2500X
Professional Counselor
LPC.0021388
CO

Other

Enumeration date
02/18/2009
Last updated
10/14/2024
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