SERGIO AYALA

CHICAGO, IL
NPI1619535002
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IA  094835)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  33810)
101YP2500X Counselor, Professional
(Licence: IL  178.010795)
Enumeration Date2019-05-31
Last Update Date2019-05-31
Business Address
Mr. SERGIO AYALA M.Div., M.S., LMHC
7601 S KOSTNER AVE
CHICAGO, IL 60652-1126
Phone number: 630-936-1839
Mailing Address
Mr. SERGIO AYALA M.Div., M.S., LMHC
606 141ST ST
HAMMOND, IN 46327-1221
Phone number: 630-936-1839