Healthcare Provider Details

I. General information

NPI: 1548787278
Provider Name (Legal Business Name): TIMOTHY ERIC FREUNDL LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2017
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2417 POST RD
STEVENS POINT WI
54481-6124
US

IV. Provider business mailing address

205142 VALLIE LN
MOSINEE WI
54455-4203
US

V. Phone/Fax

Practice location:
  • Phone: 715-842-9500
  • Fax: 715-848-0425
Mailing address:
  • Phone: 715-572-4035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6252-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: