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General NPI Number Information
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NPI Number | 1427265719
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Entity Type | Individual
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Provider Name | THOMAS L. FREESE LPCC, ATR-BC
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4229 BARDSTOWN RD
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City | LOUISVILLE
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State | KY
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Zip | 40218-3241
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Country | US
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Telephone | 502-499-8010
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Fax |
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Provider Business Mailing Address
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Address Line | 2802 FLOORE CT
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City | LOUISVILLE
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State | KY
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Zip | 40299-1610
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Country | US
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Telephone | 502-491-5664
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0888
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 05-029
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License Number State | KY
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