Individual
MR. ISRAEL P SERRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS CADC MISA
Contact information
Practice address
731 SABRINA DR UNIT C, EAST PEORIA, IL 61611-3582
(309) 699-9700
(309) 699-2937
Mailing address
731 SABRINA DR UNIT C, EAST PEORIA, IL 61611-3582
(309) 699-9700
(309) 699-2937
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12103
IL
Other
Enumeration date
01/20/2022
Last updated
01/24/2022
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