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Individual

ALVARO W JAYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6 MONTGOMERY VILLAGE AVE STE 400, GAITHERSBURG, MD 20879-3548
(301) 963-7222
(301) 963-2616
Mailing address
6 MONTGOMERY VILLAGE AVE STE 400, GAITHERSBURG, MD 20879-3548
(301) 963-7222
(301) 963-2616

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC1748
MD

Other

Enumeration date
04/12/2019
Last updated
04/12/2019
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