Provider Demographics
NPI:1649308602
Name:FREEMIRE, STEVEN PECHTER (MFT)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:PECHTER
Last Name:FREEMIRE
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2073 MAGNOLIA WAY
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94595-1629
Mailing Address - Country:US
Mailing Address - Phone:510-869-2505
Mailing Address - Fax:
Practice Address - Street 1:33 QUAIL CT STE 200
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5597
Practice Address - Country:US
Practice Address - Phone:510-869-2505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC33236106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist