Provider Demographics
NPI:1720011976
Name:MCCREADY, STEVE (MA, MFT)
Entity Type:Individual
Prefix:MR
First Name:STEVE
Middle Name:
Last Name:MCCREADY
Suffix:
Gender:M
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 MARCONI AVE
Mailing Address - Street 2:APARTMENT 213
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-5327
Mailing Address - Country:US
Mailing Address - Phone:916-202-5426
Mailing Address - Fax:
Practice Address - Street 1:1891 E ROSEVILLE PKWY
Practice Address - Street 2:SUITE 120
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-7973
Practice Address - Country:US
Practice Address - Phone:916-781-0606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 43212106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist