Individual
JANE REBECCA ROSEBORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CAP
Contact information
Practice address
379 6TH AVE W, BRADENTON, FL 34205-8820
(941) 782-4299
(941) 782-4301
Mailing address
PO BOX 9478, BRADENTON, FL 34206-9478
(941) 782-4100
(941) 782-4101
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/09/2012
Last updated
01/19/2016
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