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NPI 1598425522

NPI 1598425522 : AUDREY SCHOEN LMFT LICENSED MARRIAGE AND FAMILY THERAPIST A PROFESSION : ROSEVILLE, CA

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General NPI Number Information
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    NPI Number           |    1598425522
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    Entity Type          |    Organization 
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    Legal Business Name  |    AUDREY SCHOEN LMFT LICENSED MARRIAGE AND FAMILY THERAPIST A PROFESSION 
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Dates
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    Enumeration Date     |    12/17/2021
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    Last Update Date     |    06/21/2025
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Provider Practice Location Address
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    Address Line         |    1380 LEAD HILL BLVD STE 145 
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    City                 |    ROSEVILLE
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    State                |    CA
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    Zip                  |    95661-2998
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    Country              |    US
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    Telephone            |    916-469-5591
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8020 ROB ROY LN 
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    City                 |    GRANITE BAY
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    State                |    CA
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    Zip                  |    95746-9336
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    Country              |    US
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    Telephone            |    530-906-4899
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     AUDREY  SCHOEN 
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    Credential           |    LMFT
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    Telephone            |    916-469-5591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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