Mr. Micco Lewis Freeman
Mr. Micco Lewis Freeman is a Counselor in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
3441 E Archer StTulsa, OK 74115-8217
Phone: (918) 833-8650
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence NONE |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1518348473 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 16, 2015 |
| Last updated in NPPES | January 23, 2020 |
| Certification date | January 23, 2020 |
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