Individual provider · Type 1 NPI
Undra B. Broom, CDCA, QMHP
Counselor · Columbus, OH
NPI number
1760100457
Active
Practice location
3242 E Main St
Columbus, OH 43213-3807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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.
3 other providers at this address
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About NPI 1760100457
Undra B. Broom, CDCA, QMHP's National Provider Identifier is 1760100457, issued on Aug 18, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Columbus, OH. The record was last updated on Aug 18, 2022.