Provider Demographics
NPI:1740897511
Name:HARPER, STEPHEN NATHANIAL (LPC)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:NATHANIAL
Last Name:HARPER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:STEVE
Other - Middle Name:
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:3322 NW FAIRWAY HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-6826
Mailing Address - Country:US
Mailing Address - Phone:541-777-7526
Mailing Address - Fax:
Practice Address - Street 1:3322 NW FAIRWAY HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-6826
Practice Address - Country:US
Practice Address - Phone:541-777-7526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-25
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC7357101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional