person
Mia Elise Broberg
Mental Health Counselor in Salem, Oregon
NPI 1720509813

Mia Elise Broberg is a Mental Health Counselor based in Keizer, OR and is specialized in Mental Health. Mia Elise Broberg practices in Salem, OR. The NPI Number for Mia Elise Broberg is 1720509813 and holds a License No. (Oregon).

The current practice location address for Mia Elise Broberg is 1595 Cottage St Ne, Salem, OR and can be reached out via phone at 503-897-1289.

Location: 1595 Cottage St Ne, Salem, OR, 97303
person
Provider Profile Details
NPI Number
1720509813
Provider Name
Mia Elise Broberg
Credential
Provider Entity Type
Individual
Gender
Female
Address
1595 Cottage St Ne, Salem, OR, 97303
Phone Number
503-897-1289
Fax Number
Provider Enumeration Date
06/29/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1595 Cottage St Ne
City
State
Zip
97301
Phone Number
503-897-1289
Fax Number
person
Provider Business Mailing Address Details
Address
1595 Cottage St Ne
City
State
Zip
97301
Phone Number
503-897-1289
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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