Individual
AYLA NAOMI MEDINA-ULLOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 TIETON DR STE C, YAKIMA, WA 98908-3479
(150) 996-5710
Mailing address
5301 TIETON DR STE C, YAKIMA, WA 98908-3479
(509) 965-7100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC60890622
WA
Other
Enumeration date
08/09/2018
Last updated
09/27/2018
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