Individual
MR. ROBERT JEROME BROMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, CDP
Contact information
Practice address
306 2ND ST NE, YELM, WA 98597-7647
(360) 400-2242
(360) 400-2471
Mailing address
306 2ND ST NE, YELM, WA 98597-7647
(360) 400-2242
(360) 400-2471
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34121200
WA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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