Freedom Management | |
50 Luda St Russell Springs KY 42642-4512 | |
(270) 866-4174 | |
Not Available |
Full Name | Freedom Management |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 50 Luda St, Russell Springs, Kentucky |
Authorized Official Name and Position | Monica Lawrence (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5026562429 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Freedom Management 50 Luda St Russell Springs KY 42642-4512 Ph: (270) 866-4174 | Freedom Management 50 Luda St Russell Springs KY 42642-4512 Ph: (270) 866-4174 |
NPI Number | 1619752607 |
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Provider Enumeration Date | 08/28/2023 |
Last Update Date | 08/28/2023 |
Certification Date | 08/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619752607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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