Individual
LOURDES M AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
120 S 6TH ST, VINELAND, NJ 08360-4605
(856) 457-5814
Mailing address
120 S 6TH ST, VINELAND, NJ 08360-4605
(856) 457-5814
(856) 457-5816
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00420900
NJ
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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