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Melissa Ayala

Counselor, Professional in Pueblo, CO. Individual provider (NPI-1).

NPI number1285086512
StatusActive
Last updated in NPPESJul 12, 2019

Details

NPI
1285086512
Entity type
Individual (NPI-1)
Name
Melissa Ayala
Sex
Female
Sole proprietor
No
Enumeration date
Jul 11, 2016
Last updated
Jul 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, ProfessionalLPC.0015476COYes
171M00000X Case Manager/Care Coordinator––

Practice location

1302 Chinook Ln
Pueblo, CO 81001-1851

Phone 719-545-2746 · Fax 719-423-1882

Mailing address

41 Montebello Rd
Suite 200
Pueblo, CO 81001-1379

Phone 719-545-2746 · Fax 719-542-9638

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