DR. Thomas Wesley Ayala, LICENSED COUNSELOR

NPI #1154564185 in Lebanon, Oregon

Provider Information

NPI Number: 1154564185
Entity Type: Individual
Name: DR. Thomas Wesley Ayala, LICENSED COUNSELOR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: LICENSED COUNSELOR
Enumeration Date: Apr 7, 2009
Last Updated: Dec 29, 2016

Practice Location

Address: 880 MAIN ST
City: Lebanon
State: Oregon
ZIP Code: 97355
Phone: (541) 258-8210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Psychologist	103T00000X	Primary

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