Organization
KOA HEALTH DIGITAL SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE M ANDERSON-DRAP (VICE PRESIDENT, DELIVERY & SERVICES)
(248) 818-7802
Entity
Organization
Contact information
Practice address
75 STATE ST FL 16, BOSTON, MA 02109-1466
(617) 619-8234
Mailing address
75 STATE ST FL 16, BOSTON, MA 02109-1466
(617) 619-8234
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/07/2023
Last updated
11/14/2023
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