Mia Elise Broberg
Mia Elise Broberg is a Mental Health Counselor in Salem, Oregon. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1595 Cottage St NESalem, OR 97301
Phone: (503) 897-1289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1720509813 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 29, 2017 |
| Last updated in NPPES | June 29, 2017 |
| Mailing address | 1715 Chemawa Rd. Ne, Keizer, OR 97303 |
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