DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ALEXUS BROOM LMFT

MEDICARE: ALEXUS BROOM LMFT
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
1106H00000XMarriage & Family Therapist138226CA

General Provider Information

NPI Number : 1700357241
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXUS BROOM LMFT
Provider Business Mailing Address
First Line : PO BOX 2984
Second Line :
City : VACAVILLE
State : CA
Zip : 95696-2984
Country : US
Telephone Number : 707-474-7667
Fax Number :
Provider Business Practice Location Address
First Line : 520 CHADBOURNE RD
Second Line :
City : FAIRFIELD
State : CA
Zip : 94534-9656
Country : US
Telephone Number : 707-366-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2018
Last Update Date : 09/22/2023

Similar Medicare Providers

1477128734 — HILLARY KINGMAN
Practice Location Address:
520 CHADBOURNE RD
FAIRFIELD, CA
94534-9656
Practice Phone: 707-366-3600
Practice Fax:
1558383380 — NAIYAR U ZAMAN MD MHA
Practice Location Address:
520 CHADBOURNE RD
FAIRFIELD, CA
94534-9656
Practice Phone: 707-366-3600
Practice Fax:
1891973319 — BRIDGET SMITH M.S.
Practice Location Address:
520 CHADBOURNE RD
FAIRFIELD, CA
94534-9656
Practice Phone: 707-366-3600
Practice Fax:
1003353087 — PAUL JOSEPH TAMBINI LCSW
Practice Location Address:
520 CHADBOURNE RD
FAIRFIELD, CA
94534-9656
Practice Phone: 707-366-3600
Practice Fax:
1619689023 — AMANDA DEVANE PHD
Practice Location Address:
520 CHADBOURNE RD
FAIRFIELD, CA
94534-9656
Practice Phone: 707-366-3674
Practice Fax:
1053286575 — DR. RACHEL NICOLE MORTON PSYD
Practice Location Address:
520 CHADBOURNE RD
FAIRFIELD, CA
94534-9656
Practice Phone: 707-366-3600
Practice Fax:

Directions to “ ALEXUS BROOM LMFT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.