Provider Demographics
NPI:1558548214
Name:SCHWINN, FREYA MARIE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:FREYA
Middle Name:MARIE
Last Name:SCHWINN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:FREYA
Other - Middle Name:MARIE
Other - Last Name:THORSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:2053 DEL RIO DR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95204-1620
Mailing Address - Country:US
Mailing Address - Phone:209-425-3058
Mailing Address - Fax:209-625-0492
Practice Address - Street 1:18826 N LOWER SACRAMENTO RD STE C
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:CA
Practice Address - Zip Code:95258-9290
Practice Address - Country:US
Practice Address - Phone:209-368-2532
Practice Address - Fax:209-625-0492
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-24
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 53067106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95-2633765OtherMEDI-CAL