Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Undra B Broom, CDCA, QMHP

Individual provider Counselor · NPI 1760100457

Mr. Undra B Broom, CDCA, QMHP is a Counselor in Columbus, Ohio. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3242 E Main St
Columbus, OH 43213-3807
Phone: (614) 500-4150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1760100457
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA , QMHP
Sole proprietorNo
NPI enumeratedAugust 18, 2022
Last updated in NPPESAugust 18, 2022
Certification dateAugust 11, 2022

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