Doctor Name: | GAYE FREEMAN |
NPI Number: | 1174667398 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFT |
License Number: | MFC 20387 |
Business Practice Address: | 18029 Riverside Dr Suite A Sonoma, CA - 954764291 |
Business Phone Number: | 7079350605 |
Business Fax Number: | 7079350605 |
Mailing Address: | Po Box 1354, BOYES HOT SPRINGS |
State: | CA |
Postal Code: | 954161354 |
Phone Number: | 7079350605 |
Fax Number: | 7079350605 |
NPI Enumeration Date: | 02/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFC 20387 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |