person
Mr. Sergio Ayala, MDIV,MS,LMHC
Mental Health Counselor in Chicago, Illinois
NPI 1619535002

Sergio Ayala is a Mental Health Counselor based in Hammond, IL and is specialized in Mental Health. Sergio Ayala practices in Chicago, IL and has the professional credentials of MDIV,MS,LMHC. The NPI Number for Sergio Ayala is 1619535002 and holds a License No. 33810 (Illinois).

The current practice location address for Sergio Ayala is 7601 S Kostner Ave, Chicago, IL and can be reached out via phone at 630-936-1839.

Location: 7601 S Kostner Ave, Chicago, IL, 46327-1221
person
Provider Profile Details
NPI Number
1619535002
Provider Name
Sergio Ayala
Credential
MDIV,MS,LMHC
Provider Entity Type
Individual
Gender
Male
Address
7601 S Kostner Ave, Chicago, IL, 46327-1221
Phone Number
630-936-1839
Fax Number
Provider Enumeration Date
05/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7601 S Kostner Ave
City
State
Zip
60652-1126
Phone Number
630-936-1839
Fax Number
person
Provider Business Mailing Address Details
Address
7601 S Kostner Ave
City
State
Zip
60652-1126
Phone Number
630-936-1839
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
094835 (Iowa)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178.010795 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
33810 (Illinois)
Definition
Definition to come...
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