Provider Demographics
NPI:1982086724
Name:KROMAH, LADJI SR
Entity type:Individual
Prefix:
First Name:LADJI
Middle Name:
Last Name:KROMAH
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 SABLE BLVD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-6825
Mailing Address - Country:US
Mailing Address - Phone:720-422-5032
Mailing Address - Fax:
Practice Address - Street 1:1275 SABLE BLVD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-6825
Practice Address - Country:US
Practice Address - Phone:720-422-5032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-28
Last Update Date:2015-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health