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Individual
MS. JOAN KENDALL AYALA
Active
Individual
MS. JOAN KENDALL AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW CADC III CRM
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
17-01-28
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
L7815
OR
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16CRM233
ACCBO CRM
OR
01
—
17-01-0128
ACCBO CADC III
OR
01
—
A4288
BOARD OF LICENSED CLINICAL SOCIAL WORKERS
OR
01
—
L7825
LICENSED CLINICAL SOCIAL WORKER
OR
Enumeration date
08/11/2014
Last updated
02/26/2021
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