Individual
MR. CARL LEE FORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3211 BRAMER DR, RALEIGH, NC 27604-1603
(919) 376-7006
Mailing address
5304 DUCKWING DR, RALEIGH, NC 27604-6155
(919) 376-7006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NC
103K00000X
Behavior Analyst
—
NC
103TC2200X
Clinical Child & Adolescent Psychologist
—
NC
103TE1100X
Exercise & Sports Psychologist
—
NC
103TF0000X
Family Psychologist
—
NC
103TH0100X
Health Service Psychologist
—
NC
103TP2701X
Group Psychotherapy Psychologist
—
NC
106H00000X
Marriage & Family Therapist
—
NC
172A00000X
Driver
—
NC
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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