Rosenboro, Iesha P

Rosenboro, Iesha P is an individual health care provider with primary practice located at 2 Industrial Park Dr Ste C , Waldorf MD 20602-2729. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Rosenboro, Iesha P can be contacted via phone (301) 792-7207.

Contact Information

Primary practice address
2 Industrial Park Dr Ste C Waldorf MD 20602-2729
Phone: (301) 792-7207
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 0060 District of Columbia
Behavioral Health & Social Service Providers / Counselor 101Y00000X LC13623 Maryland

Profile Details

NPI number 1821693946
LBN Legal business name Rosenboro, Iesha P
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2020
Last updated Mar 1st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821693946 NPPES
Maryland Other LC13623 BOARD OF PROFESSIONAL COUNSELORS
Maryland Other 0060 BOARD OF PROFESSIONAL COUNSELORS

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