Individual
LICIA FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., M.ED. LMFT
Contact information
Practice address
3520 PIEDMONT RD NE STE 330, ATLANTA, GA 30305-1552
(770) 352-0029
Mailing address
3520 PIEDMONT RD NE STE 330, ATLANTA, GA 30305-1552
(770) 352-0029
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT000935
GA
106H00000X
Marriage & Family Therapist
MFT36758
CA
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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