Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH WAYNE FREEMAN SR., LPC
Active Sole ProprietorMR. KENNETH WAYNE FREEMAN SR., LPC is a Mental Health Counselor healthcare provider located in FOUNTAIN, Minnesota. NPI 1255047981 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · FOUNTAIN, MN
Registration Details
- NPI Number
- 1255047981
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2023 (3.5155256650494 yrs)
- Last Updated
- Jul 10, 2024
- Licenses
-
02712 (MN)39004515A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
102 SPRUCE ST SEFOUNTAIN, MN, 559358825Browse MN providers · Browse ZIP 55935
- Phone
- 5078842456
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in FOUNTAIN, MN
| Name | Credential | NPI |
|---|---|---|
| SHAYLYN FREEMAN | — | 1083496749 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.