Provider Demographics
NPI:1568033108
Name:BROWN-STERANKO, MOLLY
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:BROWN-STERANKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:
Other - Last Name:STERANKO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, MS, LBS, NADD-CC
Mailing Address - Street 1:1 NORTH DR
Mailing Address - Street 2:
Mailing Address - City:SCHUYLKILL HAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:17972-8955
Mailing Address - Country:US
Mailing Address - Phone:570-573-3909
Mailing Address - Fax:
Practice Address - Street 1:23 MEADOW BROOK DR
Practice Address - Street 2:
Practice Address - City:SCHUYLKILL HAVEN
Practice Address - State:PA
Practice Address - Zip Code:17972-9316
Practice Address - Country:US
Practice Address - Phone:570-573-3909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH003231101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor