Provider Demographics
NPI:1033549720
Name:STERLING, RITA (MCJ, CADC, CPS)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:STERLING
Suffix:
Gender:F
Credentials:MCJ, CADC, CPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 19TH ST
Mailing Address - Street 2:DEPARTMENT OF VETERANS AFFAIRS, STE. M2
Mailing Address - City:ROCK ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:61201-8028
Mailing Address - Country:US
Mailing Address - Phone:309-786-3591
Mailing Address - Fax:309-786-5135
Practice Address - Street 1:211 19TH ST
Practice Address - Street 2:DEPARTMENT OF VETERANS AFFAIRS, STE. M2
Practice Address - City:ROCK ISLAND
Practice Address - State:IL
Practice Address - Zip Code:61201-8028
Practice Address - Country:US
Practice Address - Phone:309-786-3591
Practice Address - Fax:309-786-5135
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-18
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)