Provider Demographics
NPI:1063883049
Name:SCHOEN, AUDREY (LMFT)
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:
Last Name:SCHOEN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:AUDREY
Other - Middle Name:
Other - Last Name:WOMACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 CREEKSIDE RIDGE CT STE 210
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-3595
Mailing Address - Country:US
Mailing Address - Phone:916-469-5591
Mailing Address - Fax:
Practice Address - Street 1:210 ESTATES DR STE 109
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-2300
Practice Address - Country:US
Practice Address - Phone:916-469-5591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-15
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA93948106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist