Individual provider · Type 1 NPI
Nicole Justine Brogdon, MAC LPC LMFT
Professional Counselor · Austin, TX
NPI number
1003356577
Active
Practice location
2720 Bee Caves Rd
Austin, TX 78746-5642
Fax (512) 732-0556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 63068 (TX) |
| Marriage & Family Therapist | 106H00000X | 201143 (TX) |
Professional Counselor: Definition to come...
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About NPI 1003356577
Nicole Justine Brogdon, MAC LPC LMFT's National Provider Identifier is 1003356577, issued on Mar 3, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Mar 3, 2017.