IndividualActive
Alton Freestone, PSY.D. LCSW
NPI 1265556401 · Mental Health Counselor · Logan, UT
Provider details
- NPI number
- 1265556401
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- PSY.D. LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 12344 (UT)
Practice location
40 W Cache Valley Blvd
Ste 10a
Logan, UT 84341-8452
Phone: (435) 787-2272
Fax: (435) 713-4001
Mailing address
40 W Cache Valley Blvd
Logan, UT 84341-8452
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.