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

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X20056 (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.