Provider Demographics
NPI:1285776401
Name:FREEMAN, DARLENE JUNE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:JUNE
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 N GREENE RD
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526-1307
Mailing Address - Country:US
Mailing Address - Phone:574-533-5146
Mailing Address - Fax:
Practice Address - Street 1:3603 E JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46615-3035
Practice Address - Country:US
Practice Address - Phone:574-287-7323
Practice Address - Fax:574-287-7365
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39000312A101YM0800X
MI6401004440101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health