JEQUETTA BORUM
NPI 1942826748
Counselor - Addiction (Substance Use Disorder) in Randallstown, MD

Q: What is Jequetta Borum's NPI number?

The NPI number for Jequetta Borum is 1942826748. It was assigned to this individual provider in the NPPES registry on June 18, 2020. The provider is also known as Mrs. Jequetta Borum M.S., Adt.

Q: What is Jequetta Borum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jequetta Borum was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 18, 2020

4908 OAKLAND PARK RD, RANDALLSTOWN, MD 21133(443) 909-2034 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jequetta Borum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEQUETTA BORUM (NPI 1942826748) is an individual addiction (substance use disorder) provider in Randallstown, Maryland and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1942826748

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameJEQUETTA BORUM

Location Address4908 OAKLAND PARK RDRandallstown, MD 21133-4504

Mailing Address4908 Oakland Park RdRandallstown, MD 21133-4504 · (443) 909-2034

Phone(443) 909-2034

Sole ProprietorYes

Enumeration DateJune 18, 2020

NPPES CertifiedJune 18, 2020

✔ NPI 1942826748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

4908 OAKLAND PARK RD, Randallstown, MD 21133

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Other Names 1

Professional Name (2)Mrs. Jequetta Borum M.s., Adt

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jequetta Borum's NPI number?

The NPI number for Jequetta Borum is 1942826748. It was assigned to this individual provider in the NPPES registry on June 18, 2020. The provider is also known as Mrs. Jequetta Borum M.S., Adt.

Where is Jequetta Borum located?

Jequetta Borum practices at 4908 Oakland Park Rd, Randallstown, MD 21133. The listed phone number is (443) 909-2034.

What is Jequetta Borum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jequetta Borum was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.