Provider Demographics
NPI:1609359348
Name:HARPER, CAITLIN M (LPCC)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:M
Last Name:HARPER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CALIENTE RD
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87508-9209
Mailing Address - Country:US
Mailing Address - Phone:630-317-4782
Mailing Address - Fax:
Practice Address - Street 1:1 CALIENTE RD UNIT 1B
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87508-8163
Practice Address - Country:US
Practice Address - Phone:630-317-4782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-10
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCCMH0205281101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health