Individual
ANGELICA AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
440 POTRERO AVE, SAN FRANCISCO, CA 94110-1430
(510) 369-9818
Mailing address
16 RITTER ST, SAN RAFAEL, CA 94901-3323
(415) 457-8182
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
106S00000X
Behavior Technician
—
CA
Other
Enumeration date
08/19/2019
Last updated
04/16/2024
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