Provider Demographics
NPI:1366290207
Name:HARPER, CARA BRETTE (LPC)
Entity type:Individual
Prefix:MRS
First Name:CARA
Middle Name:BRETTE
Last Name:HARPER
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 1:6001 CARLOW CT SE
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-2767
Mailing Address - Country:US
Mailing Address - Phone:770-438-6458
Mailing Address - Fax:
Practice Address - Street 1:6001 CARLOW CT SE
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-2767
Practice Address - Country:US
Practice Address - Phone:770-438-6458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3597101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health