Provider Demographics
NPI:1336205921
Name:HARLAN, CATHERINE QUICK (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:QUICK
Last Name:HARLAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 CLAYTON LAKE ROAD
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28785
Mailing Address - Country:US
Mailing Address - Phone:828-926-9960
Mailing Address - Fax:
Practice Address - Street 1:1207 EAST STREET
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786
Practice Address - Country:US
Practice Address - Phone:828-456-6120
Practice Address - Fax:828-456-6164
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2659101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC13353OtherBLUE CROSS BLUE SHIELD
NC6102264Medicaid