Provider Demographics
NPI:1275392086
Name:FREUND, LYNAIA KATHLEEN (LMFT)
Entity Type:Individual
Prefix:
First Name:LYNAIA
Middle Name:KATHLEEN
Last Name:FREUND
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31861 FLORIDA ST
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-7552
Mailing Address - Country:US
Mailing Address - Phone:909-519-9004
Mailing Address - Fax:
Practice Address - Street 1:31861 FLORIDA ST
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-7552
Practice Address - Country:US
Practice Address - Phone:909-519-9004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39956106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty