Individual provider · Type 1 NPI

Granville Theodore Freeman Iii, LPC, NCC, DCC, GCDF

Counselor · Stone Mountain, GA

NPI number 1144625922 Active

Practice location

5000 Brittany Drive
Stone Mountain, GA 30083

Mailing address

P.o. Box 720
Stone Mountain, GA 30086

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLPC008077 (GA)
Mental Health Counselor 101YM0800XLPC008077 (GA)
Professional Counselor 101YP2500XLPC008077 (GA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1144625922

Granville Theodore Freeman Iii, LPC, NCC, DCC, GCDF's National Provider Identifier is 1144625922, issued on Oct 23, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Stone Mountain, GA. The record was last updated on Oct 23, 2014.