Provider Demographics
NPI:1992009070
Name:FREEMAN, SARAH E (LPCC-S)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:FREEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SARAH WICKMAN
Mailing Address - Street 1:1418 JENNY CT
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42103-4764
Mailing Address - Country:US
Mailing Address - Phone:270-202-7669
Mailing Address - Fax:
Practice Address - Street 1:1609 MEDIA DR
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-2707
Practice Address - Country:US
Practice Address - Phone:270-202-7669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-04
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-1140101YM0800X
KY104155101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100290390Medicaid