Provider Demographics
NPI:1184919896
Name:HARPER, ANGELA JOY
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:JOY
Last Name:HARPER
Suffix:
Gender:F
Credentials:
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 1932
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27588-1932
Mailing Address - Country:US
Mailing Address - Phone:919-554-1231
Mailing Address - Fax:919-554-2406
Practice Address - Street 1:103 CAPCOM AVE.
Practice Address - Street 2:230
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27588
Practice Address - Country:US
Practice Address - Phone:919-554-1231
Practice Address - Fax:919-554-2406
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA7655101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor