| Doctor Name: | MR. LAURENCE FREEDOM |
| NPI Number: | 1003233404 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.E, CACIII, LPC |
| License Number: | |
| Business Practice Address: | 1155 Kelly Johnson Blvd. Suite 201 Colorado Springs, CO - 80920 |
| Business Phone Number: | 7194183737 |
| Business Fax Number: | |
| Mailing Address: | 870 Kipling St., Suite B LAKEWOOD |
| State: | CO |
| Postal Code: | 80215 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2014 |
| NPI Last Update Date: | 03/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |