Provider Demographics
NPI:1891228714
Name:STEARNES, MARSJA (LPC-INTERN)
Entity type:Individual
Prefix:
First Name:MARSJA
Middle Name:
Last Name:STEARNES
Suffix:
Gender:F
Credentials:LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212021 SPRING BROOK PLAZA DR. #175
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379
Mailing Address - Country:US
Mailing Address - Phone:832-717-7166
Mailing Address - Fax:
Practice Address - Street 1:21021 SPRING BROOK PLAZA DR
Practice Address - Street 2:SUIT #175
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-5338
Practice Address - Country:US
Practice Address - Phone:832-717-7166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77451101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional