MEDICARE: MISS RACHEL LAUREN STERMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1073187076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS RACHEL LAUREN STERMAN

Provider Business Mailing Address
First Line	:	1915 D ST
Second Line	:
City	:	ANTIOCH
State	:	CA
Zip	:	94509-2571
Country	:	US
Telephone Number	:	925-754-3673
Fax Number	:

Provider Business Practice Location Address
First Line	:	3385 W MAIN ST STE B
Second Line	:
City	:	OAKLEY
State	:	CA
Zip	:	94561-6017
Country	:	US
Telephone Number	:	925-679-2504
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2021
Last Update Date	:	05/14/2021

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