Provider Demographics
NPI:1255694634
Name:FREEMAN, LAUREL ANN (LCPC, NCC, CT)
Entity Type:Individual
Prefix:MRS
First Name:LAUREL
Middle Name:ANN
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:LCPC, NCC, CT
Other - Prefix:MS
Other - First Name:LAUREL
Other - Middle Name:ANN
Other - Last Name:GOODRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11311 MCCORMICK RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-1004
Mailing Address - Country:US
Mailing Address - Phone:443-849-8258
Mailing Address - Fax:
Practice Address - Street 1:11311 MCCORMICK RD
Practice Address - Street 2:SUITE 350
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21031-1004
Practice Address - Country:US
Practice Address - Phone:443-849-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-20
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3783101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor