Provider Demographics
NPI:1730441973
Name:SIGAFOOS, LINDSAY DE MARIA (LMFT)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:DE MARIA
Last Name:SIGAFOOS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 E OCEAN AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-2500
Mailing Address - Country:US
Mailing Address - Phone:805-588-6192
Mailing Address - Fax:
Practice Address - Street 1:218 N I ST
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-0909
Practice Address - Country:US
Practice Address - Phone:805-588-6192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108603106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1063951051OtherMEDI-CAL
1689762486OtherMCMILLAN RANCH