Provider Demographics
NPI:1285085910
Name:STEARNS, JODI (LPC)
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:
Last Name:STEARNS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 HEALEY HILL RD
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18407-3709
Mailing Address - Country:US
Mailing Address - Phone:570-222-4004
Mailing Address - Fax:
Practice Address - Street 1:30-32 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:PA
Practice Address - Zip Code:18407-2304
Practice Address - Country:US
Practice Address - Phone:570-282-1732
Practice Address - Fax:570-282-6805
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008309101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional