Individual
ANDREA AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N 30TH ST TRL 111, MOUNT VERNON, WA 98273
(360) 473-9144
Mailing address
1400 N 30TH ST TRL 111, MOUNT VERNON, WA 98273
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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