Individual
AYLA VITALIA MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
23164 DRAGOON RD, LIGNUM, VA 22726-2036
(540) 399-1926
Mailing address
2430 WARRENTON RD, FREDERICKSBURG, VA 22406-4836
(540) 322-8883
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009793
VA
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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