Provider Demographics
NPI:1649590738
Name:BERNARDO-FREEMAN, ADRIANNA (LPCMH, NCC)
Entity type:Individual
Prefix:
First Name:ADRIANNA
Middle Name:
Last Name:BERNARDO-FREEMAN
Suffix:
Gender:F
Credentials:LPCMH, NCC
Other - Prefix:
Other - First Name:NAN
Other - Middle Name:
Other - Last Name:BERNARDO-FREEMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2200 W 11TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-2604
Mailing Address - Country:US
Mailing Address - Phone:302-463-7711
Mailing Address - Fax:
Practice Address - Street 1:2200 W 11TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-2604
Practice Address - Country:US
Practice Address - Phone:302-463-7711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-11
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEPC-0000787OtherLICENSE