Individual
MS. DUSUBA KHADIJAH FOFANAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4020 ALDER GROVE LN, RICHMOND, VA 23228-2662
(804) 878-9649
Mailing address
4020 ALDER GROVE LN, RICHMOND, VA 23228-2662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VA
Other
Enumeration date
11/22/2025
Last updated
11/22/2025
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