Individual provider · Type 1 NPI
Mia Kristie Mbroh, LPC
Professional Counselor · Richardson, TX
NPI number
1114004090
Active
Practice location
1701 N Collins Blvd, Suite 100
Richardson, TX 75080-3564
Fax (469) 385-4265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 20056 (TX) |
Professional Counselor: Definition to come...
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About NPI 1114004090
Mia Kristie Mbroh, LPC's National Provider Identifier is 1114004090, issued on Oct 31, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Richardson, TX. The record was last updated on Jul 9, 2007.