Provider Demographics
NPI:1629259536
Name:COCHNEUER, LYNN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:COCHNEUER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:BAMBI
Other - Middle Name:LYNN
Other - Last Name:COCHNEUER-FREGIEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 395
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:CA
Mailing Address - Zip Code:95236-0395
Mailing Address - Country:US
Mailing Address - Phone:209-887-9001
Mailing Address - Fax:
Practice Address - Street 1:29245 E SHELTON RD
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:CA
Practice Address - Zip Code:95236-9420
Practice Address - Country:US
Practice Address - Phone:209-887-9001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA240321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical