Healthcare Provider Details

I. General information

NPI: 1871835397
Provider Name (Legal Business Name): NATALIE MONETTE CORRINE MCBROOM M.A. LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2013
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 W MAIN ST STE M
BRAWLEY CA
92227-2254
US

IV. Provider business mailing address

467 KENDAL LOOP
KALISPELL MT
59901-2493
US

V. Phone/Fax

Practice location:
  • Phone: 760-550-1745
  • Fax: 636-226-0438
Mailing address:
  • Phone: 760-550-1745
  • Fax: 636-226-0438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number106122
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: