MEDICARE: LINDSAY SHEA BROOKS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1013726819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY SHEA BROOKS

Provider Business Mailing Address
First Line	:	35402 PASEO VIENTO
Second Line	:
City	:	CAPO BEACH
State	:	CA
Zip	:	92624-1837
Country	:	US
Telephone Number	:	310-654-6544
Fax Number	:

Provider Business Practice Location Address
First Line	:	35402 PASEO VIENTO
Second Line	:
City	:	CAPO BEACH
State	:	CA
Zip	:	92624-1837
Country	:	US
Telephone Number	:	310-654-6544
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2025
Last Update Date	:	01/06/2025

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Directions to “ LINDSAY SHEA BROOKS ” Practice Location

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