Individual
KENNETH IRA STERCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC2
Contact information
Practice address
2565 AIRPORT RD, COLORADO SPRINGS, CO 80910-3119
(719) 663-7021
(719) 632-3534
Mailing address
2565 AIRPORT RD, COLORADO SPRINGS, CO 80910-3119
(719) 663-7021
(719) 632-3534
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0007918
CO
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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