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Individual

ANGELICA DARLENE AYALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1266 14TH ST, OAKLAND, CA 94607-2247
(510) 273-4700
Mailing address
969 BOCKMAN RD, SAN LORENZO, CA 94580-2807
(510) 925-7138

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/15/2024
Last updated
01/15/2024
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