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NPI Code Detail

MEDICARE: RENEE ROCHELLE FREELAND CADC-II

MEDICARE: RENEE ROCHELLE FREELAND CADC-II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1255876967
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE ROCHELLE FREELAND CADC-II
Provider Business Mailing Address
First Line : 8624 HOLLOWAY DR
Second Line :
City : WEST HOLLYWOOD
State : CA
Zip : 90069-2304
Country : US
Telephone Number : 909-240-9207
Fax Number :
Provider Business Practice Location Address
First Line : 1230 N MARENGO AVE
Second Line :
City : PASADENA
State : CA
Zip : 91103-2217
Country : US
Telephone Number : 626-797-1124
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2017
Last Update Date : 01/04/2017

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Directions to “ RENEE ROCHELLE FREELAND CADC-II” Practice Location

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