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Contact Information

DAMIAN AYALA, LPC
3517 BRANDON AVE SW
ROANOKE, VA24018-1523
 Phone: 540-981-1102
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for DAMIAN AYALA · (Male)

NPI Number 1538723192
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 04/29/2019
Last updated 04/29/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0701008292
  • VA Medicaid 1437137734
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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