Ayala, Thomas Wesley

Ayala, Thomas Wesley is an sole proprietor health care provider with primary practice located at 880 Main St , Lebanon OR 97355. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Ayala, Thomas Wesley can be contacted via phone (541) 258-8210.

Contact Information

Primary practice address
880 Main St Lebanon OR 97355
Phone: (541) 258-8210
Fax: (541) 258-8212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C1962 Oregon
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1154564185
LBN Legal business name Ayala, Thomas Wesley
Credentials LICENSED COUNSELOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2009
Last updated Dec 29th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154564185 NPPES
North Carolina Other 227513 NATIONAL BOARD CERTIFIED COUNSELOR
North Carolina Other C1962 NATIONAL BOARD CERTIFIED COUNSELOR

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