| 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 |
|---|---|
| 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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