Organization
BROUGHAM COUNSELING LLC
Active
Organization
BROUGHAM COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BROUGHAM PHD (OWNER/COUNSELOR)
(314) 325-1121
Entity
Organization
Contact information
Practice address
13725 AMIOT DR, SAINT LOUIS, MO 63146-3609
(314) 325-1121
Mailing address
13725 AMIOT DR, SAINT LOUIS, MO 63146-3609
(314) 325-1121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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