Provider Demographics
NPI:1821370115
Name:STERBA, JOHN EDWARD (MA, CRC, PCC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:EDWARD
Last Name:STERBA
Suffix:
Gender:M
Credentials:MA, CRC, PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 COGSWELL CT
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-1232
Mailing Address - Country:US
Mailing Address - Phone:614-890-5467
Mailing Address - Fax:614-890-4340
Practice Address - Street 1:73 COGSWELL CT
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-1232
Practice Address - Country:US
Practice Address - Phone:614-890-5467
Practice Address - Fax:614-890-4340
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0000484101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHE 0000484OtherOHIO COUNSELOR AND SOCIAL WORKER BOARD
IL00012799OtherNATIONAL COMMISSION ON REHABILITATION COUNSELOR CERTIFICATION