Individual
ADAM AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRW
Contact information
Practice address
7225 E SOUTHGATE DR, SUITE D, SACRAMENTO, CA 95823-2652
(916) 394-1000
Mailing address
7225 E SOUTHGATE DR, SUITE D, SACRAMENTO, CA 95823-2652
(916) 394-1000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RW5082
CA
Other
Enumeration date
03/19/2012
Last updated
03/26/2012
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