Jequetta Borum

NPI #1942826748 in Randallstown, Maryland

Provider Information

NPI Number
1942826748
Entity Type
Individual
Name
Jequetta Borum
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jun 18, 2020
Last Updated
Jun 18, 2020

Practice Location

Address
4908 OAKLAND PARK RD
ZIP Code
21133-4504
Phone
(443) 909-2034

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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