Individual
ANDREW AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 E ENOS DR STE A, SANTA MARIA, CA 93454-7215
(805) 614-9160
(805) 614-9363
Mailing address
965 VIA FARGO, SANTA MARIA, CA 93455-5059
(209) 918-3581
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
113438
CA
Other
Enumeration date
06/18/2015
Last updated
06/13/2019
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