Individual
CARLY ROSENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC, LPCC
Contact information
Practice address
955 CONGRESS PARK DR, CENTERVILLE, OH 45459-4009
(937) 907-1437
Mailing address
7905 SCHATZ POINTE DR STE 104, CENTERVILLE, OH 45459-3856
(937) 952-6379
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.2204525
OH
101YP2500X
Professional Counselor
Primary
E.2404640
OH
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/05/2018
Last updated
09/09/2024
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