Provider Demographics
NPI:1295185742
Name:FREEMAN, KATEECE (LPC)
Entity Type:Individual
Prefix:
First Name:KATEECE
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 921063
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30010-1063
Mailing Address - Country:US
Mailing Address - Phone:470-519-2542
Mailing Address - Fax:678-669-0012
Practice Address - Street 1:6082 TENNYSON PARK WAY
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-3378
Practice Address - Country:US
Practice Address - Phone:470-519-2542
Practice Address - Fax:678-669-0012
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-15
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC005117101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional