Provider Demographics
NPI:1225589609
Name:HARPER, NATHAN (LSC)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:
Last Name:HARPER
Suffix:
Gender:M
Credentials:LSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 WEST SALEM ST
Mailing Address - Street 2:APT 214
Mailing Address - City:COLUMBIANA
Mailing Address - State:OH
Mailing Address - Zip Code:44408
Mailing Address - Country:US
Mailing Address - Phone:330-205-4151
Mailing Address - Fax:
Practice Address - Street 1:929 CENTER ST.
Practice Address - Street 2:
Practice Address - City:WELLSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43968
Practice Address - Country:US
Practice Address - Phone:330-205-4151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH3081961101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool