Individual
BROGHAN COULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
5389 ORCHARD HILL AVE, KALAMAZOO, MI 49009-3831
(269) 389-9544
Mailing address
1901 PARKVIEW AVE STE 1, KALAMAZOO, MI 49008-4806
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/19/2020
Last updated
08/28/2024
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