Individual provider · Type 1 NPI

Sergio Ayala, M.DIV., M.S., LMHC

Mental Health Counselor · Chicago, IL

NPI number 1619535002 Active

Practice location

7601 S Kostner Ave
Chicago, IL 60652-1126

Mailing address

606 141st St
Hammond, IN 46327-1221

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X33810 (IL)
Professional Counselor 101YP2500X178.010795 (IL)
Mental Health Counselor Primary 101YM0800X094835 (IA)

Mental Health Counselor: Definition to come...

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About NPI 1619535002

Sergio Ayala, M.DIV., M.S., LMHC's National Provider Identifier is 1619535002, issued on May 31, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on May 31, 2019.