Beth Lauren Broodo
Counselor, Professional in Dallas, TX. Individual provider (NPI-1).
NPI number1407918436
StatusActive
Last updated in NPPESFeb 24, 2020
Details
- NPI
- 1407918436
- Entity type
- Individual (NPI-1)
- Name
- Beth Lauren Broodo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 15, 2006
- Certification date
- Feb 24, 2020
- Last updated
- Feb 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Other names
- Beth Lauren Morrison (Former Name)
Practice location
5402 Arapaho RdDallas, TX 75248-6905
Phone 972-437-9950 · Fax 972-437-1988
Mailing address
5402 Arapaho RdDallas, TX 75248-6905
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