Provider Demographics
NPI:1801030358
Name:FREEMAN, JAMES OLIVER JR (CADC, CCDC, CAC-AD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:OLIVER
Last Name:FREEMAN
Suffix:JR
Gender:M
Credentials:CADC, CCDC, CAC-AD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:117 HIGH SHERIFF TRL
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-2046
Mailing Address - Country:US
Mailing Address - Phone:443-366-2271
Mailing Address - Fax:410-548-9056
Practice Address - Street 1:106 MILFORD ST STE 501B
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-6958
Practice Address - Country:US
Practice Address - Phone:410-543-8652
Practice Address - Fax:410-548-9056
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE679101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)