Mr Kenneth Wayne Freeman Sr, LPC is a
Counselor - Mental Health based in Fountain, Minnesota. Mr Kenneth Wayne Freeman Sr is licensed to practice in Indiana (license number 39004515A) and his current practice location is
102 Spruce St Se, Fountain, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(507) 884-2456.
NPI number for Mr Kenneth Wayne Freeman Sr is 1255047981 and his current mailing address is 102 Spruce St Se, Fountain, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255047981.
Healthcare Provider's Profile
Full Name | Mr Kenneth Wayne Freeman Sr |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 102 Spruce St Se, Fountain, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255047981
- Provider Enumeration Date: 01/26/2023
- Last Update Date: 07/10/2024
Medical Identifiers
Medical identifiers for Mr Kenneth Wayne Freeman Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255047981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 02712 (Minnesota) | Secondary |
101YM0800X | Counselor - Mental Health | 39004515A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth Wayne Freeman Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Kenneth Wayne Freeman Sr, LPC 102 Spruce St Se, Fountain, MN 55935-8825 Ph: (507) 884-2456 | Mr Kenneth Wayne Freeman Sr, LPC 102 Spruce St Se, Fountain, MN 55935-8825 Ph: (507) 884-2456 |
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