Individual
KATHERINE BROMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
399 E MAIN ST, COLUMBUS, OH 43215-5384
(614) 355-8550
Mailing address
DEPT 781625 PO BOX 78000, DETROIT, MI 48278-1625
(614) 355-8004
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
4160-R
NV
106H00000X
Marriage & Family Therapist
Primary
M.1800085
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
10/18/2018
Last updated
09/08/2021
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