Individual
ARIEANNA LENORA AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
143 GOUGLER AVE, KENT, OH 44240-2401
(330) 677-4124
Mailing address
18020 SNYDER RD, CHAGRIN FALLS, OH 44023-1627
(330) 637-6709
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.167458
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
OH
Enumeration date
08/29/2018
Last updated
08/29/2018
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