Individual
ADALBERTO AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 312-9610
(303) 312-9607
Mailing address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 312-9610
(303) 312-9607
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5115
CO
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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