Healthcare Provider Details

I. General information

NPI: 1609740356
Provider Name (Legal Business Name): STEVEN J FREUND LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2025
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9298 CENTRAL AVE NE STE 310
BLAINE MN
55434-4219
US

IV. Provider business mailing address

9298 CENTRAL AVE NE STE 310
BLAINE MN
55434-4219
US

V. Phone/Fax

Practice location:
  • Phone: 651-955-4633
  • Fax: 651-440-9827
Mailing address:
  • Phone: 651-955-4633
  • Fax: 651-440-9827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4834
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: