Individual
IESHA P ROSENBORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2 INDUSTRIAL PARK DR STE C, WALDORF, MD 20602-2729
(301) 792-7207
Mailing address
11288 BURBERRY ST, WHITE PLAINS, MD 20695-3187
(301) 793-3800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC13623
MD
175T00000X
Peer Specialist
0060
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060
DCAPC CERTIFIED PEER RECOVERY SPECIALIST
DC
01
—
LC13623
BOARD OF PROFESSIONAL COUNSELORS
MD
Enumeration date
12/04/2020
Last updated
03/01/2023
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