Most Relevant Information
Provider Data
| NPI Number: | 1003181207 |
| Provider Name: | STEPHEN EASTMAN LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | MFC 31653 |
Most Important Dates
| Enumeration Date: | 03/21/2012 |
| Last Updated: | 03/21/2012 |
Provider Practice Location
5409 PALM AVE
SACRAMENTO
CA
958412317
Practice Location Phone/Fax
| Phone: | 9165486641 |
| Fax: |
Provider Mailing Location
PO BOX 41693
SACRAMENTO
CA
958410693
Provider Mailing Phone/Fax
| Phone: | 9165486641 |
| Fax: |