# SIERRACOUNSELING & MEDIATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710215454
- **Authorized official:** DR. VIVIAN MARIE SIERRA PH.D. (DIRECTOR)
- **Authorized official phone:** (618) 398-6552

## Contact information

- **Practice address:** 6609 W MAIN ST, SUITE A, BELLEVILLE, IL 62223-3025
- **Practice address phone:** (618) 398-6552
- **Practice address fax:** (618) 398-0075
- **Mailing address:** 6609 W MAIN ST, SUITE A, BELLEVILLE, IL 62223-3025
- **Mailing address phone:** (618) 398-6552
- **Mailing address fax:** (618) 398-0075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 166.000561 | IL | Yes |

## Other

- **Enumeration date:** 11/18/2009
- **Last updated:** 11/18/2009