Individual
BRIANA CAROL VIZCARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8685 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(909) 213-8698
Mailing address
1153 LUGO LN, COLTON, CA 92324-6604
(909) 213-8698
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
01/04/2023
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