Provider Demographics
NPI:1497347132
Name:STEARNS, MICHELLE (CADC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:STEARNS
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 N HANCOCK ST
Mailing Address - Street 2:
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-4648
Mailing Address - Country:US
Mailing Address - Phone:641-622-2800
Mailing Address - Fax:641-682-2826
Practice Address - Street 1:102 N HANCOCK ST
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-4648
Practice Address - Country:US
Practice Address - Phone:641-622-2800
Practice Address - Fax:641-682-2826
Is Sole Proprietor?:No
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAT21081101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAT21081OtherCADC CERTIFICATION