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LISA MARIE AYALA MFT

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1306280359

Individual Registrant:
 LISA MARIE AYALA MFT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
10200 SEPULVEDA BLVD STE 145  MISSION HILLS, CA 91345-3327 US
Tel: 818-745-2515  Fax: --

Contact information for business:
10200 SEPULVEDA BLVD STE 145  MISSION HILLS, CA 91345-3327 US
Tel: 818-745-2515  Fax: --

Registration Information:
NPI: 1306280359
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
CA74550
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
CA111688

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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