Provider Demographics
NPI:1750929089
Name:SCHNOPLE, JOSEPH MARK
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:MARK
Last Name:SCHNOPLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18829 AVERY PARK DR
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-0170
Mailing Address - Country:US
Mailing Address - Phone:704-619-8707
Mailing Address - Fax:
Practice Address - Street 1:17714 KINGS POINT DR STE B
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-6929
Practice Address - Country:US
Practice Address - Phone:704-619-8707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-17
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health