Provider Demographics
NPI:1528275856
Name:STEARNS, RODNEY B (LPC, CAC III)
Entity type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:B
Last Name:STEARNS
Suffix:
Gender:M
Credentials:LPC, CAC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1438 BAYLOR DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-3304
Mailing Address - Country:US
Mailing Address - Phone:719-634-5360
Mailing Address - Fax:719-684-2568
Practice Address - Street 1:10460 W. HWY. 24
Practice Address - Street 2:
Practice Address - City:GREEN MOUNTAIN FALLS
Practice Address - State:CO
Practice Address - Zip Code:80919
Practice Address - Country:US
Practice Address - Phone:719-325-5246
Practice Address - Fax:719-684-2568
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC #3654101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor