Individual
CARL WILLIS ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2525 RAEFORD RD STE B, FAYETTEVILLE, NC 28305-5092
(910) 635-9545
(910) 491-8902
Mailing address
821 RASPBERRY RD, STEDMAN, NC 28391-9725
(910) 635-9545
(910) 491-8902
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1367
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194124412
—
NC
Enumeration date
04/17/2018
Last updated
06/16/2018
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