Individual
ISAAC AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASTER'S
Contact information
Practice address
233 ROUTE 6, DAYVILLE, COLUMBIA, CT 06237-1125
(860) 774-2020
(860) 228-6921
Mailing address
233 ROUTE 6, PO BOX 200, COLUMBIA, CT 06237-1125
(860) 774-2020
(860) 228-6921
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300060
MBHP
MA
05
—
1300881
—
MA
Enumeration date
11/23/2009
Last updated
09/24/2010
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