MEDICARE: SARAH JUMAH NANGOMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1225962632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH JUMAH NANGOMA

Provider Business Mailing Address
First Line	:	191 CHANDLER ST
Second Line	:
City	:	TEWKSBURY
State	:	MA
Zip	:	01876-2019
Country	:	US
Telephone Number	:	978-935-3103
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 GEORGE ST FL 1
Second Line	:
City	:	LOWELL
State	:	MA
Zip	:	01852-2228
Country	:	US
Telephone Number	:	978-453-5736
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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Directions to “ SARAH JUMAH NANGOMA ” Practice Location

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