Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEQUETTA BORUM
Active Sole ProprietorJEQUETTA BORUM is a Addiction (Substance Use Disorder) Counselor healthcare provider located in RANDALLSTOWN, Maryland. NPI 1942826748 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · RANDALLSTOWN, MD
Registration Details
- NPI Number
- 1942826748
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2020 (6.2002479239359 yrs)
- Last Updated
- Jun 18, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
4908 OAKLAND PARK RDRANDALLSTOWN, MD, 211334504Browse MD providers · Browse ZIP 21133
- Phone
- 4439092034
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in RANDALLSTOWN, MD
| Name | Credential | NPI |
|---|---|---|
| MR. PAUL N SACKS | LCADC | 1063505626 |
| MR. BERNARD ROBERSON | LCA 138 | 1538355037 |
| MRS. LAKESSIA RENEE BROOKS-LEAK | CSC-AD | 1487837365 |
| THERESA THOMAS | — | 1689047177 |
| NICHELLE MCGIRT | — | 1538837422 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.