Provider Demographics
NPI:1548800634
Name:ROSEBROUGH, ANGELA MARIE (LMFT)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:ROSEBROUGH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MELTON ROAD EXT
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-6501
Mailing Address - Country:US
Mailing Address - Phone:828-772-0628
Mailing Address - Fax:
Practice Address - Street 1:775 HAYWOOD RD STE B
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-7110
Practice Address - Country:US
Practice Address - Phone:828-772-0628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-07
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2533106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist