National Provider Identifier Database

FREDA WORTHON MED LICENSE PROFESSIONAL COUNSELOR
Rehabilitation, Substance Use Disorder Unit

A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)


Contact Information

FREDA WORTHON, M.ED LICENSE PROFESSIONAL COUNSELOR
5793 S MICHIGAN AVE
SPRINGFIELD, MO65810-2593
Phone: 417-881-1249
Fax: 417-881-1249
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder Unit 276400000X

* Indicates primary specialty

NPI Profile & details for FREDA WORTHON, M.ED LICENSE PROFESSIONAL COUNSELOR

NPI Number 1578864674
Legal business name
LBN
FREDA WORTHON, M.ED LICENSE PROFESSIONAL COUNSELOR
Authorized official FREDA WORTHON - (LICENSE PROFESSIONAL COUNSELOR)
Entity Organization
Organization subpart No
Enumeration date 11/06/2010
Last updated 01/04/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 1999136664
  • MO Medicaid: 494977416

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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