Provider Demographics
NPI:1578777066
Name:HARPER, CORRINE DAY (MC, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:CORRINE
Middle Name:DAY
Last Name:HARPER
Suffix:
Gender:F
Credentials:MC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2270
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85299-2270
Mailing Address - Country:US
Mailing Address - Phone:480-232-9191
Mailing Address - Fax:480-654-3101
Practice Address - Street 1:2942 E MELODY LN
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-1404
Practice Address - Country:US
Practice Address - Phone:480-232-9191
Practice Address - Fax:480-654-3101
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC 2098101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health