Mrs. Dusuba M Koroma, MA
Counselor, Addiction (Substance Use Disorder) in Tewksbury, Massachusetts
1063780997- Practice location
- 170 Main St # G4-G8, Tewksbury, MA 01876-1765
- Phone
- 781-348-9041
- Fax
- 978-455-0274
- Last updated
- February 15, 2022
Dusuba Mmah Koroma is a Counselor, Addiction (Substance Use Disorder) based in Tewksbury, MA. Dusuba Mmah Koroma practices in Tewksbury, MA and has the professional credentials of MA. The NPI Number for Dusuba Mmah Koroma is 1063780997 and holds a License No. 13060 (MA). The current practice location address for Dusuba Mmah Koroma is 170 Main St # G4-G8, Tewksbury, MA 01876-1765 and can be reached out via phone at 781-348-9041 and via fax at 978-455-0274.
Provider Profile Details
- NPI Number
- 1063780997
- Provider Name
- Dusuba Mmah Koroma
- Credential
- MA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 170 Main St # G4-G8, Tewksbury, MA 01876-1765
- Phone Number
- 781-348-9041
- Fax Number
- 978-455-0274
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 6, 2011
- Last Update Date
- February 15, 2022
- Certification Date
- February 15, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 170 Main St # G4-G8
Tewksbury, MA 01876-1765 - City
- Tewksbury
- State
- Massachusetts
- Zip
- 01876-1765
- Phone Number
- 781-348-9041
- Fax Number
- 978-455-0274
Provider Business Mailing Address Details
- Address
- 17 Dawn Ave
Merrimack, NH 03054-4253 - City
- Merrimack
- State
- NH
- Zip
- 03054-4253
- Phone Number
- 603-579-9916
License Information
- License Number
- 13060
- License State
- MA
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Dusuba M Koroma, MA?
The NPI number of Mrs. Dusuba M Koroma, MA is 1063780997. It was assigned on December 6, 2011 and is currently active in the NPPES registry.
What is the specialty of Mrs. Dusuba M Koroma, MA?
Mrs. Dusuba M Koroma, MA is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 13060.
Where does Mrs. Dusuba M Koroma, MA practice?
The practice location is 170 Main St # G4-G8, Tewksbury, MA 01876-1765. The office can be reached at 781-348-9041 (phone) or 978-455-0274 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063780997 directly on the NPPES registry website.