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NPI Code Detail

MEDICARE: MS. KAY MARIE FREEMAN MFT

MEDICARE: MS. KAY MARIE FREEMAN MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistM 16284CA

General Provider Information

NPI Number : 1588795298
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAY MARIE FREEMAN MFT
Provider Business Mailing Address
First Line : PO BOX 609001
Second Line :
City : SAN DIEGO
State : CA
Zip : 92160-9001
Country : US
Telephone Number : 619-528-4600
Fax Number : 619-528-4625
Provider Business Practice Location Address
First Line : 1550 HOTEL CIR N STE 450
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-2933
Country : US
Telephone Number : 619-692-1581
Fax Number : 619-692-1588
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 05/14/2021

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Directions to “ MS. KAY MARIE FREEMAN MFT” Practice Location

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