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NPI Code Detail

MEDICARE: KALI-ANN FREEMAN

MEDICARE: KALI-ANN 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
1101YM0800XMental Health CounselorMI
2106S00000XBehavior TechnicianMI
3171M00000XCase Manager/Care Coordinator
4103K00000XBehavior Analyst7401002098MI

General Provider Information

NPI Number : 1578968442
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALI-ANN FREEMAN
Provider Business Mailing Address
First Line : 5659 STADIUM DR
Second Line :
City : KALAMAZOO
State : MI
Zip : 49009-1932
Country : US
Telephone Number : 269-372-0436
Fax Number :
Provider Business Practice Location Address
First Line : 120 STEVENS ST SW
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49507-1526
Country : US
Telephone Number : 616-469-3870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2014
Last Update Date : 04/09/2026

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Directions to “ KALI-ANN FREEMAN ” Practice Location

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