Provider Demographics
NPI:1164747622
Name:THORP, JOECAROL (BSN)
Entity Type:Individual
Prefix:MRS
First Name:JOECAROL
Middle Name:
Last Name:THORP
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1095 BURNING TREE DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-5611
Mailing Address - Country:US
Mailing Address - Phone:919-942-5134
Mailing Address - Fax:
Practice Address - Street 1:1095 BURNING TREE DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-5611
Practice Address - Country:US
Practice Address - Phone:919-942-5134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-28
Last Update Date:2010-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC060899101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor