Individual
TERESA JENNETTE STERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACI, RP
Contact information
Practice address
2565 AIRPORT RD, COLORADO SPRINGS, CO 80910-3119
(719) 632-3510
Mailing address
2565 AIRPORT RD, COLORADO SPRINGS, CO 80910-3119
(719) 632-3510
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
NLC.0108358
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACA.0007666
CO
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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