Provider Demographics
NPI:1669510491
Name:FREEMAN, JOAN M (LPCC)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:M
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3425 PELHAM RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-2471
Mailing Address - Country:US
Mailing Address - Phone:419-340-7735
Mailing Address - Fax:
Practice Address - Street 1:5600 MONROE ST
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2740
Practice Address - Country:US
Practice Address - Phone:419-885-1910
Practice Address - Fax:419-885-5060
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE7809101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
11583630OtherCAQH