Individual provider · Type 1 NPI

Nicolee Elane Brorsen, MOT, OTR/L

Mental Health Counselor · Berkeley, CA

NPI number 1760648190 Active

Practice location

3075 Adeline St, Suite 120
Berkeley, CA 94703-2576

Call (510) 848-1112 Map

Fax (510) 848-4445

Specialties and licenses

TaxonomyCodeLicense
Pediatric Occupational Therapist 225XP0200XOT 1104 (CA)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1760648190

Nicolee Elane Brorsen, MOT, OTR/L's National Provider Identifier is 1760648190, issued on Aug 5, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Berkeley, CA. The record was last updated on Aug 2, 2012.