Provider Demographics
NPI:1003260647
Name:VENTURA AYALA, ARIANA (MSW)
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:VENTURA AYALA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4024 DURFEE AVE # WINGD
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91732-2510
Mailing Address - Country:US
Mailing Address - Phone:626-279-2530
Mailing Address - Fax:626-582-8150
Practice Address - Street 1:4024 DURFEE AVE # WINGD
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91732
Practice Address - Country:US
Practice Address - Phone:626-279-2530
Practice Address - Fax:626-582-8150
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW89903101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health