Mr. Coleman Riley Vizcarra
Mr. Coleman Riley Vizcarra is a Mental Health Counselor in Centralia, Illinois. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
904 E Martin Luther King DrCentralia, IL 62801
Phone: (618) 533-1391
Fax: (618) 533-0012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1770831893 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 21, 2012 |
| Last updated in NPPES | August 21, 2012 |
Other providers in Centralia
-
Steffany Slininger
904 M L King Dr, Centralia, IL 62801-3058 · (618) 533-1391
-
Sara Michelle Spencer
904 E Mlk Dr, Centralia, IL 62801 · (618) 533-1391
-
Sara Trotter, MHP
904 M L King Dr, Centralia, IL 62801-3058 · (618) 533-1391
-
Stacy Vance
904 E Mlk Dr, Centralia, IL 62801 · (618) 533-1391
-
Aspin Walta
904 M L King Dr, Centralia, IL 62801-3058 · (618) 533-1391
-
Shannon Zerrusen
904 M L King Dr, Centralia, IL 62801-3058 · (618) 533-1391