Jose Rolando Ayala
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Berkeley, CA
NPI 1841890571 · NPPES record last updated Oct 30, 2020
Key facts
- NPI
- 1841890571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1835 Allston Way
Berkeley, CA 94703-1764 - Phone
- (510) 666-9552
- NPI assigned
- Oct 30, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1835 Allston Way
Berkeley, CA 94703-1764
Mailing address
1835 Allston Way
Berkeley, CA 94703-1764
Phone (510) 666-9552
Other providers in Berkeley, CA
- David Raymond Avila
- Ana G Aviles
- Andrew Aviles
- Isbaella Aviles
- Eric Avirett
- Ellen Stewart Ayres
- Pouneh Azadi
- Sadaf Azizi
- Emily Alexia Azmitia
- Victoria Baca
All providers in Berkeley, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.