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NPI Code Detail

MEDICARE: LEA VESSEY AMFT

MEDICARE: LEA VESSEY AMFT
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 Therapist161185CA

General Provider Information

NPI Number : 1811863582
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEA VESSEY AMFT
Provider Business Mailing Address
First Line : 6615 SANTA ISABEL ST UNIT B
Second Line :
City : CARLSBAD
State : CA
Zip : 92009-5940
Country : US
Telephone Number : 858-652-1363
Fax Number :
Provider Business Practice Location Address
First Line : 490 N GRAPE ST
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-3079
Country : US
Telephone Number : 619-275-0822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2025
Last Update Date : 01/22/2026

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Directions to “ LEA VESSEY AMFT” Practice Location

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