Provider Demographics
NPI:1003189101
Name:CAPPS, EMILY JANE (LCMHCS, LCAS, CCS)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:JANE
Last Name:CAPPS
Suffix:
Gender:F
Credentials:LCMHCS, LCAS, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 US HIGHWAY 421 N STE 1
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-7692
Mailing Address - Country:US
Mailing Address - Phone:724-968-2435
Mailing Address - Fax:
Practice Address - Street 1:2208 US HIGHWAY 421 N STE 1
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-7692
Practice Address - Country:US
Practice Address - Phone:724-968-2435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9362101YP2500X
NC2977101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional