Dusuba Mmah Koroma, MA
Counselor, Addiction (Substance Use Disorder) in Tewksbury, MA. Individual provider (NPI-1).
NPI number1063780997
StatusActive
Last updated in NPPESFeb 15, 2022
Details
- NPI
- 1063780997
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Dusuba Mmah Koroma
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2011
- Certification date
- Feb 15, 2022
- Last updated
- Feb 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 13060 | MA | Yes |
Practice location
170 Main St # G4-G8Tewksbury, MA 01876-1765
Phone 781-348-9041 · Fax 978-455-0274
Mailing address
17 Dawn AveMerrimack, NH 03054-4253
Phone 603-579-9916
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All 30 Addiction (Substance Use Disorder) Counselor providers in Tewksbury · All 557 providers in Tewksbury
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