Kormah Dorko, LPC, AADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Siloam Springs, AR
NPI 1043980774 · NPPES record last updated Sep 14, 2021
Key facts
- NPI
- 1043980774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 608 S Hico St
Siloam Springs, AR 72761-3740 - Phone
- (479) 549-3737
- NPI assigned
- Sep 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AR | Yes |
Addresses
Primary practice location
608 S Hico St
Siloam Springs, AR 72761-3740
Mailing address
608 S Hico St
Siloam Springs, AR 72761-3740
Phone (479) 278-3130
Other providers in Siloam Springs, AR
- Stephanie J Deweese
- Dialysis Centers of Northwest Arkansas, LLC
- Pamela S Dinger
- Dana Graves Dodson
- Morgan Dodson
- David William Dornhoffer
- Lori Lynn Douglas
- Dr. Greg Walters and Associates
- Ember Dreemur
- Mary Droho
All providers in Siloam Springs, AR · Addiction (Substance Use Disorder) Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.