Individual
ALEXUS BROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
520 CHADBOURNE RD, FAIRFIELD, CA 94534-9656
(707) 366-3600
Mailing address
PO BOX 2984, VACAVILLE, CA 95696-2984
(707) 474-7667
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
138226
CA
Other
Enumeration date
12/10/2018
Last updated
09/22/2023
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