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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SERGIO AYALA, M.DIV., M.S., LMHC

Active Sole Proprietor

MR. SERGIO AYALA, M.DIV., M.S., LMHC is a Mental Health Counselor healthcare provider located in CHICAGO, Illinois. NPI 1619535002 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · CHICAGO, IL

Registration Details

NPI Number
1619535002
Provider Type
Individual
Gender
Male
NPI Issued
May 31, 2019 (7.1792159522259 yrs)
Last Updated
May 31, 2019
Licenses
33810 (IL)
178.010795 (IL)
094835 (IA)
Sole Proprietor
Yes

Practice Information

Address
7601 S KOSTNER AVE
CHICAGO, IL, 606521126
Browse IL providers · Browse ZIP 60652
Phone
6309361839
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Professional Counselor
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in CHICAGO, IL

Name Credential NPI
MR. DAVID THOMAS WICK MA 1427031889
MS. JUDITH A OPAT LCPC 1578548046
MR. ISAAC REGETT LCPC 1275518037
ELIZABETH LOUISE FISK WALSH M.A., L.C.P.C. 1871568584
DR. JUDITH ANN SKERCHOCK PH.D. 1124095492
DR. CONSTANCE S BRAININ PH.D. 1699737569
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.