Provider Demographics
NPI:1760915565
Name:HARPER, MARNIE LEE (LMFT)
Entity Type:Individual
Prefix:
First Name:MARNIE
Middle Name:LEE
Last Name:HARPER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11549 LAKE LN STE 2
Mailing Address - Street 2:
Mailing Address - City:CHISAGO CITY
Mailing Address - State:MN
Mailing Address - Zip Code:55013-9201
Mailing Address - Country:US
Mailing Address - Phone:651-257-2733
Mailing Address - Fax:
Practice Address - Street 1:11549 LAKE LN STE 2
Practice Address - Street 2:
Practice Address - City:CHISAGO CITY
Practice Address - State:MN
Practice Address - Zip Code:55013-9201
Practice Address - Country:US
Practice Address - Phone:651-257-2733
Practice Address - Fax:651-257-2783
Is Sole Proprietor?:No
Enumeration Date:2017-04-07
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2712106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist