Individual
MR. JAYSON GIOVANNIE AYALA MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1148 ELIZABETH AVE, LANCASTER, PA 17601-4359
(717) 390-9086
(717) 390-9066
Mailing address
1148 ELIZABETH AVE, LANCASTER, PA 17601-4359
(717) 390-9086
(717) 390-9066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1102899457
—
PA
Enumeration date
03/27/2020
Last updated
03/27/2020
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