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
- City
- Randallstown
- State
- Maryland
- 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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