| Sierracounseling & Mediation, Llc | |
|
6609 W Main St Suite A Belleville IL 62223-3025 | |
| (618) 398-6552 | |
| (618) 398-0075 |
| Full Name | Sierracounseling & Mediation, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 6609 W Main St, Belleville, Illinois |
| Authorized Official Name and Position | Vivian Marie Sierra (DIRECTOR) |
| Authorized Official Contact | 6183986552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierracounseling & Mediation, Llc 6609 W Main St Suite A Belleville IL 62223-3025 Ph: (618) 398-6552 | Sierracounseling & Mediation, Llc 6609 W Main St Suite A Belleville IL 62223-3025 Ph: (618) 398-6552 |
| NPI Number | 1710215454 |
|---|---|
| Provider Enumeration Date | 11/18/2009 |
| Last Update Date | 11/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710215454 | NPI | - | NPPES |
| 1639199854 | Other | IL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 166.000561 (Illinois) | Primary |
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