MEDICARE: JAMES FREEMAN

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1457444218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES FREEMAN

Provider Business Mailing Address
First Line	:	1050 RIBAUT ROAD
Second Line	:
City	:	BEAUFORT
State	:	SC
Zip	:	29902
Country	:	US
Telephone Number	:	843-524-3378
Fax Number	:

Provider Business Practice Location Address
First Line	:	603 BARNWELL ROAD
Second Line	:
City	:	ALLENDALE
State	:	SC
Zip	:	29810
Country	:	US
Telephone Number	:	803-584-4636
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	07/08/2007

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Directions to “ JAMES FREEMAN ” Practice Location

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