Provider Demographics
NPI:1518023753
Name:STEARNS, JANE (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:
Last Name:STEARNS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:WY
Mailing Address - Zip Code:82633-0220
Mailing Address - Country:US
Mailing Address - Phone:307-358-0638
Mailing Address - Fax:307-358-0638
Practice Address - Street 1:310 S 4TH ST
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:WY
Practice Address - Zip Code:82633-2530
Practice Address - Country:US
Practice Address - Phone:307-358-0638
Practice Address - Fax:307-358-0638
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC375101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional