Individual provider · Type 1 NPI

Mallory Louise Brogdon, MHPP

Counselor · Bentonville, AR

NPI number 1205087988 Active

Practice location

2508 SE 20th Street
Bentonville, AR 72712

Fax (479) 750-8967

Mailing address

2400 S. 48th Street
Springdale, AR 72762

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1205087988

Mallory Louise Brogdon, MHPP's National Provider Identifier is 1205087988, issued on Oct 1, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bentonville, AR. The record was last updated on May 24, 2011.