Most Relevant Information
Provider Data
| NPI Number: | 1003329194 |
| Provider Name: | GABRIEL ROSENBORO BS CRIMINAL JUSTICE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YS0200X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/10/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
4400 OLD POOLE RD
RALEIGH
NC
276103033
Practice Location Phone/Fax
| Phone: | 9192689660 |
| Fax: |
Provider Mailing Location
5065 BRAXTON RD
GRIFTON
NC
285308628
Provider Mailing Phone/Fax
| Phone: | 9192689660 |
| Fax: |