Doctor Name: | MRS. JENNIE KAYE FREELAND |
NPI Number: | 1063771459 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS.ED, LMHC |
License Number: | 178.006853 |
Business Practice Address: | 308 Medic Way Greencastle, IN - 461352296 |
Business Phone Number: | 7656532669 |
Business Fax Number: | 7656538671 |
Mailing Address: | 308 Medic Way, GREENCASTLE |
State: | IN |
Postal Code: | 461352296 |
Phone Number: | 7656532669 |
Fax Number: | 7656538671 |
NPI Enumeration Date: | 05/07/2012 |
NPI Last Update Date: | 12/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 178.006853 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |