Individual
MADEORAKOUMA BAHOMDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
650 PARK AVE APT 206, EAST ORANGE, NJ 07017-1578
(973) 789-4037
Mailing address
650 PARK AVE APT 206, EAST ORANGE, NJ 07017-1578
(973) 789-4037
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00961800
NJ
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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