Jequetta Borum
Jequetta Borum is an Addiction (Substance Use Disorder) Counselor in Randallstown, Maryland. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
4908 Oakland Park RdRandallstown, MD 21133-4504
Phone: (443) 909-2034
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1942826748 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 18, 2020 |
| Last updated in NPPES | June 18, 2020 |
| Certification date | June 18, 2020 |
| Mailing address | 4908 Oakland Park Rd, Randallstown, MD 21133-4504 |
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