Provider Demographics
NPI:1710136122
Name:STERK, HEATHER JEAN
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:JEAN
Last Name:STERK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 SADDLE RD
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94595-2743
Mailing Address - Country:US
Mailing Address - Phone:661-992-0942
Mailing Address - Fax:
Practice Address - Street 1:59 SADDLE RD
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94595-2743
Practice Address - Country:US
Practice Address - Phone:661-992-0942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor