Provider Demographics
NPI:1326504812
Name:NKROMAH, ABENA (BA, CSAC)
Entity Type:Individual
Prefix:MS
First Name:ABENA
Middle Name:
Last Name:NKROMAH
Suffix:
Gender:F
Credentials:BA, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:681 HIOAKS RD STE J
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4043
Mailing Address - Country:US
Mailing Address - Phone:804-533-1330
Mailing Address - Fax:
Practice Address - Street 1:681 HIOAKS RD STE J
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4043
Practice Address - Country:US
Practice Address - Phone:804-533-1330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-20
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710000821101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)