Provider Demographics
NPI:1811269251
Name:NORCONK, JAMES JOSEPH III (MMHC,CAP)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:JOSEPH
Last Name:NORCONK
Suffix:III
Gender:M
Credentials:MMHC,CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 43RD AVE
Mailing Address - Street 2:SUITE C-10
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-0504
Mailing Address - Country:US
Mailing Address - Phone:772-226-0812
Mailing Address - Fax:
Practice Address - Street 1:1850 43RD AVE
Practice Address - Street 2:SUITE C-10
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-0504
Practice Address - Country:US
Practice Address - Phone:772-226-0812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5110101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)