Individual
AYANA CHURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, LPCC
Contact information
Practice address
1756 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 383-3669
Mailing address
1756 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 383-3669
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11429
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
941735277
TELECARE CORPORATION
CA
Enumeration date
07/19/2021
Last updated
04/29/2022
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