Provider Demographics
NPI:1538697263
Name:KOROMA, HAWA (LPC)
Entity Type:Individual
Prefix:
First Name:HAWA
Middle Name:
Last Name:KOROMA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:843 RAHWAY AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-3648
Mailing Address - Country:US
Mailing Address - Phone:551-280-0386
Mailing Address - Fax:
Practice Address - Street 1:843 RAHWAY AVE FL 2
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-3648
Practice Address - Country:US
Practice Address - Phone:551-280-0386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-25
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00722100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional