| Mr Michael G Freeze Sr, MAADC | |
|
124 W Walnut St, Nevada, MO 64772-2302 | |
| (417) 448-9949 | |
| (417) 448-9949 |
| Full Name | Mr Michael G Freeze Sr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 124 W Walnut St, Nevada, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467244897 | NPI | - | NPPES |
| 1184014946 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19634 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael G Freeze Sr, MAADC 124 W Walnut St, Nevada, MO 64772-2302 Ph: (417) 448-9949 | Mr Michael G Freeze Sr, MAADC 124 W Walnut St, Nevada, MO 64772-2302 Ph: (417) 448-9949 |
Timothy L Wells, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 S Alma St, Nevada, MO 64772 Phone: 417-667-9697 Fax: 417-667-5737 | |
Charie Ann Sands, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 S Elm St, Nevada, MO 64772 Phone: 417-682-5757 Fax: 417-682-5757 | |
Dustan Yates Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 314-712-3411 | |
Karen Brower, MAADC1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 815 S Ash St, Nevada, MO 64772 Phone: 417-667-8352 Fax: 417-667-9216 | |
Emily Kaye Gallup, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-448-5638 | |
Shirley Willmon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 | |
Alexander Franks, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 Fax: 417-448-5606 |