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Individual

ABRAHAM TIRADO AYALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CBHCM

Contact information

Practice address
1604 17TH TER NE, WINTER HAVEN, FL 33881-4416
(863) 288-1635
Mailing address
1604 17TH TER NE, WINTER HAVEN, FL 33881-4416
(863) 288-1635

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
FL
171M00000X
Case Manager/Care Coordinator
CBHCM103930
FL

Other

Enumeration date
07/23/2021
Last updated
09/16/2025
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