MEDICARE: CHRISTINA MARGARET FREELS LICSW

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	101Y00000X	Counselor	DP00943557	WV
2	1041C0700X	Clinical Social Worker	DP00943557	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	003467852	OTHER	WV	HIGHMARK BLUE CROSS BLUE SHIELD WEST VIRGINIA

General Provider Information

NPI Number	:	1871928895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA MARGARET FREELS LICSW

Provider Business Mailing Address
First Line	:	PO BOX 814
Second Line	:
City	:	BERKELEY SPRINGS
State	:	WV
Zip	:	25411-0814
Country	:	US
Telephone Number	:	304-676-5667
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 SAND MINE RD STE 7
Second Line	:
City	:	BERKELEY SPRINGS
State	:	WV
Zip	:	25411-7457
Country	:	US
Telephone Number	:	304-676-5667
Fax Number	:

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

Provider Enumeration Date	:	09/10/2013
Last Update Date	:	09/24/2023

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Directions to “ CHRISTINA MARGARET FREELS LICSW” Practice Location

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