Provider Demographics
NPI:1619078730
Name:AYALA-COLOMA, CELSA (MDIV)
Entity Type:Individual
Prefix:MS
First Name:CELSA
Middle Name:
Last Name:AYALA-COLOMA
Suffix:
Gender:F
Credentials:MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8050 OAKDELL WAY APT 2003
Mailing Address - Street 2:SAN ANTONIO
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3918
Mailing Address - Country:US
Mailing Address - Phone:210-699-2130
Mailing Address - Fax:210-699-2257
Practice Address - Street 1:7400 MERTON MINTER ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-617-5300
Practice Address - Fax:210-949-3048
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral