Doctor Name: | MR. JAMES JACKSON FREELAND |
NPI Number: | 1467464289 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 20239 |
Business Practice Address: | 54086 Dornbush Rd Callahan, FL - 320115919 |
Business Phone Number: | 9048796264 |
Business Fax Number: | |
Mailing Address: | 54086 Dornbush Rd, CALLAHAN |
State: | FL |
Postal Code: | 320115919 |
Phone Number: | 9048796264 |
Fax Number: | |
NPI Enumeration Date: | 08/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 20239 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |