KENNETH DSNIEL FREEMAN

LONG BEACH, CA
NPI1467011130
Former NameKENNETH DANIEL FREEMAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-06-06
Last Update Date2019-06-06
Business Address
KENNETH DSNIEL FREEMAN
2501 ATLANTIC AVE
LONG BEACH, CA 90806-2708
Phone number: 562-424-6105
Mailing Address
KENNETH DSNIEL FREEMAN
2501 ATLANTIC AVE
LONG BEACH, CA 90806-2708
Phone number: 562-424-6105