Individual provider · Type 1 NPI

Jane Rebecca Roseboro, MA, CAP

Addiction (Substance Use Disorder) Counselor · Bradenton, FL

NPI number 1205191095 Active

Practice location

379 6th Ave W
Bradenton, FL 34205-8820

Fax (941) 782-4301

Mailing address

PO Box 9478
Bradenton, FL 34206-9478

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1205191095

Jane Rebecca Roseboro, MA, CAP's National Provider Identifier is 1205191095, issued on Jul 9, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bradenton, FL. The record was last updated on Jan 19, 2016.