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NPI Code Detail

MEDICARE: LAURA STERNBERG LPC

MEDICARE: LAURA STERNBERG LPC
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
1101YP2500XProfessional Counselor2019014122MO

General Provider Information

NPI Number : 1124629381
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA STERNBERG LPC
Provider Business Mailing Address
First Line : 1008 N MAIN ST
Second Line :
City : SIKESTON
State : MO
Zip : 63801-5044
Country : US
Telephone Number : 573-472-7423
Fax Number : 573-472-7475
Provider Business Practice Location Address
First Line : 123 SMITH AVE
Second Line :
City : SIKESTON
State : MO
Zip : 63801-5239
Country : US
Telephone Number : 573-471-0200
Fax Number : 573-471-7559
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2020
Last Update Date : 11/04/2020

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Directions to “ LAURA STERNBERG LPC” Practice Location

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