Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ISRAEL P SERRANO, BS CADC MISA
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · EAST PEORIA, IL
Registration Details
- NPI Number
- 1124770235
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2022 (4.2909300057086 yrs)
- Last Updated
- Jan 24, 2022
- License
-
12103 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
731 SABRINA DR UNIT CEAST PEORIA, IL, 616113582Browse IL providers · Browse ZIP 61611
- Phone
- 3096999700
- Fax
- 3096992937
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in EAST PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| LISA MARIE VANIER | AAS CADC | 1548225162 |
| MRS. DANA A D BISCHOFF | MA CSADC | 1497713077 |
| MARISA RENEE BETHEL | — | 1376214460 |
| ELENA MARIA RICKARD | CADC | 1487305736 |
| CHRISTOPHER WALKER | BA | 1699427443 |
| MARY KAY HUBER | BS, CADC | 1437801271 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.