Provider Demographics
NPI:1154085900
Name:MORCOMB, JOSEPH PATRICK (LPCC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:PATRICK
Last Name:MORCOMB
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 W COUNTY ROAD B
Mailing Address - Street 2:STE 201
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55113
Mailing Address - Country:US
Mailing Address - Phone:651-243-0077
Mailing Address - Fax:651-273-2201
Practice Address - Street 1:1611 COUNTY ROAD B W
Practice Address - Street 2:STE 201
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-4107
Practice Address - Country:US
Practice Address - Phone:651-243-0077
Practice Address - Fax:651-273-2201
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-27
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3881101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty