Provider Demographics
NPI:1619302916
Name:FREEMAN, TOM (LMFT)
Entity Type:Individual
Prefix:MR
First Name:TOM
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 116TH AVE NE
Mailing Address - Street 2:CAMPUS OFFICE PARK
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3009
Mailing Address - Country:US
Mailing Address - Phone:425-646-2778
Mailing Address - Fax:425-453-6377
Practice Address - Street 1:1603 116TH AVE NE
Practice Address - Street 2:CAMPUS OFFICE PARK
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3009
Practice Address - Country:US
Practice Address - Phone:425-646-2778
Practice Address - Fax:425-453-6377
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60208478106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist