Imagine Freedom, LLC
NPI #1730602194 in Prineville, Oregon
Provider Information
- NPI Number
- 1730602194
- Entity Type
- Organization
- Organization Name
- Imagine Freedom, LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jul 18, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 190 NW 4TH ST
- City
- Prineville
- State
- Oregon
- ZIP Code
- 97754-1820
- Phone
- (541) 447-6959
Authorized Official
- Name
- MRS. CHRYSTAL KAY JOHNSON
- Title
- OWNER/MANAGER/CLINICIAN
- Phone
- (541) 447-6959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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