Provider Demographics
NPI:1700395324
Name:FREER, CINDY L (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:L
Last Name:FREER
Suffix:
Gender:F
Credentials:LCSW
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 2060
Mailing Address - Street 2:
Mailing Address - City:OSBURN
Mailing Address - State:ID
Mailing Address - Zip Code:83849-2060
Mailing Address - Country:US
Mailing Address - Phone:208-819-5415
Mailing Address - Fax:208-203-1496
Practice Address - Street 1:803 E GARDEN AVE
Practice Address - Street 2:
Practice Address - City:OSBURN
Practice Address - State:ID
Practice Address - Zip Code:83849-0750
Practice Address - Country:US
Practice Address - Phone:208-819-5415
Practice Address - Fax:208-203-1496
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-26
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-393871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical