Individual provider · Type 1 NPI

Bradley Elijah Kooma

Mental Health Counselor · Jericho, NY

NPI number 1932967478 Active

Practice location

350 Jericho Tpke Ste 103
Jericho, NY 11753-1317

Mailing address

85 Violet St
Central Islip, NY 11722-2630

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X013207 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1932967478

Bradley Elijah Kooma's National Provider Identifier is 1932967478, issued on Mar 11, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jericho, NY. The record was last updated on May 27, 2025.