Provider Information for 1154905958
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ARIANNA AYALA LPC, CSAC
Sex: Female
NPI: 1154905958
Last Updated: 2021-05-07
Certification Date: 2021-05-07
Certification Date: 2021-05-07
Details
| Name | Value | ||||||||
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| NPI | 1154905958 | ||||||||
| Enumeration Date | 2021-05-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3109 N PARHAM RD APT 1 HENRICO, VA 23294-4416 United States Phone: 347-584-3195 | Fax: | ||||||||
| Primary Practice Address | 2421 WESTWOOD AVE STE F RICHMOND, VA 23230-4022 United States Phone: 804-330-6441 | Fax: | ||||||||
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