Individual provider · NPI-1

Angelica Ayala

Marriage & Family Therapist · San Carlos, CA

NPI number1881893402
StatusActive
Last updated in NPPESAug 20, 2009

Details

NPI
1881893402
Entity type
Individual (NPI-1)
Name
Miss Angelica Ayala
Sex
Female
Sole proprietor
No
Enumeration date
Jul 13, 2007
Last updated
Aug 20, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist––Yes

Practice location

957 Industrial Rd
Suite B
San Carlos, CA 94070-4151

Phone 415-375-7594

Mailing address

957 Industrial Rd
Suite B
San Carlos, CA 94070-4151

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