Individual
AUTUMN JEWEL AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHS, DP-C
Contact information
Practice address
863 N PINE RD STE A, ESSEXVILLE, MI 48732-2159
(989) 928-3566
(989) 391-9596
Mailing address
863 N PINE RD STE A, ESSEXVILLE, MI 48732-2159
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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