Healthcare Provider Details

I. General information

NPI: 1053785808
Provider Name (Legal Business Name): JOHN ANDREW STERNFELS LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2015
Last Update Date: 11/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23895 NOVI RD #300
NOVI MI
48375-0201
US

IV. Provider business mailing address

23895 NOVI RD #300
NOVI MI
48375
US

V. Phone/Fax

Practice location:
  • Phone: 248-773-8440
  • Fax:
Mailing address:
  • Phone: 248-773-8440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401011619
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: