| Doctor Name: | VIRGIL ALLEN FREET |
| NPI Number: | 1114958733 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, LPC |
| License Number: | 2030 |
| Business Practice Address: | Icas, Inc. 1275 James Drive Suite A Enterprise, AL - 36330 |
| Business Phone Number: | 3343081940 |
| Business Fax Number: | |
| Mailing Address: | 191 Barbara Dr, OZARK |
| State: | AL |
| Postal Code: | 363607019 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |