Doctor Name: | WILLIAM EUGENE FREEMAN |
NPI Number: | 1700942836 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED., LPC |
License Number: | 1653 |
Business Practice Address: | 600 Athens Pike Etowah, TN - 373311706 |
Business Phone Number: | 4232632966 |
Business Fax Number: | |
Mailing Address: | Po Box 757, ETOWAH |
State: | TN |
Postal Code: | 373310757 |
Phone Number: | 4232630019 |
Fax Number: | 4232630019 |
NPI Enumeration Date: | 01/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1653 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |