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Iesha P Rosenboro, MS
Counselor in Waldorf, Maryland
NPI 1821693946

Iesha P Rosenboro is a Counselor based in White Plains, MD. Iesha P Rosenboro practices in Waldorf, MD and has the professional credentials of MS. The NPI Number for Iesha P Rosenboro is 1821693946 and holds a License No. 0060 (Maryland).

The current practice location address for Iesha P Rosenboro is 2 Industrial Park Dr Ste C, Waldorf, MD and can be reached out via phone at 301-792-7207.

Location: 2 Industrial Park Dr Ste C, Waldorf, MD, 20695-3187
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821693946
Provider Name
Iesha P Rosenboro
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
2 Industrial Park Dr Ste C, Waldorf, MD, 20695-3187
Phone Number
301-792-7207
Fax Number
Provider Enumeration Date
12/04/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LC13623 01 MD BOARD OF PROFESSIONAL COUNSELORS
0060 01 DC DCAPC CERTIFIED PEER RECOVERY SPECIALIST
institution
Provider Business Practice Location Address Details
Address
2 Industrial Park Dr Ste C
City
Waldorf
State
Maryland
Zip
20602-2729
Phone Number
301-792-7207
Fax Number
person
Provider Business Mailing Address Details
Address
2 Industrial Park Dr Ste C
City
Waldorf
State
Maryland
Zip
20602-2729
Phone Number
301-792-7207
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LC13623 (Maryland)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
0060 (District of Columbia)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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