Individual
BENJAMIN AYANTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6700 N ORACLE RD STE 412, TUCSON, AZ 85704-7734
(860) 689-4660
Mailing address
6700 N ORACLE RD STE 411, TUCSON, AZ 85704-7734
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18123
AZ
Other
Enumeration date
12/24/2019
Last updated
12/24/2019
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