- Practice location
- 541 Willamette St Ste 207A, Eugene, OR 97401-2623
- Phone
- 541-686-8119
- Fax
- 541-686-3340
- Last updated
- April 24, 2019
Lola Madrone Broomberg is a Counselor, Professional based in Eugene, OR. Lola Madrone Broomberg practices in Eugene, OR and has the professional credentials of LPC. The NPI Number for Lola Madrone Broomberg is 1336581404 and holds a License No. C3168 (OR). The current practice location address for Lola Madrone Broomberg is 541 Willamette St Ste 207A, Eugene, OR 97401-2623 and can be reached out via phone at 541-686-8119 and via fax at 541-686-3340.
Provider Profile Details
- NPI Number
- 1336581404
- Provider Name
- Lola Madrone Broomberg
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 541 Willamette St Ste 207A, Eugene, OR 97401-2623
- Phone Number
- 541-686-8119
- Fax Number
- 541-686-3340
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 18, 2013
- Last Update Date
- April 24, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 541 Willamette St Ste 207A
Eugene, OR 97401-2623 - City
- Eugene
- State
- Oregon
- Zip
- 97401-2623
- Phone Number
- 541-686-8119
- Fax Number
- 541-686-3340
Provider Business Mailing Address Details
- Address
- 541 Willamette St Ste 102
Eugene, OR 97401-2687 - City
- Eugene
- State
- OR
- Zip
- 97401-2687
- Phone Number
- 541-341-3477
License Information
- License Number (1)
- C3168
- License State (1)
- OR
- Taxonomy (1)
- Counselor · 101Y00000X
- License Number (2)
- c3168
- License State (2)
- OR
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
- License Number (3)
- c3168
- License State (3)
- OR
- Taxonomy (3)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Lola M Broomberg, LPC?
The NPI number of Ms. Lola M Broomberg, LPC is 1336581404. It was assigned on July 18, 2013 and is currently active in the NPPES registry.
What is the specialty of Ms. Lola M Broomberg, LPC?
Ms. Lola M Broomberg, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in OR under license number C3168.
Where does Ms. Lola M Broomberg, LPC practice?
The practice location is 541 Willamette St Ste 207A, Eugene, OR 97401-2623. The office can be reached at 541-686-8119 (phone) or 541-686-3340 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336581404 directly on the NPPES registry website.