Individual provider · Type 1 NPI

Shanna Denise Ezell, MHP

Mental Health Counselor · Metropolis, IL

NPI number 1255672564 Active

Practice location

206 W 5th St, Apt. D
Metropolis, IL 62960-1810

Call (618) 524-9368 Map

Fax (618) 524-9551

Mailing address

306 W 8th St Apt D
Metropolis, IL 62960-1656

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1255672564

Shanna Denise Ezell, MHP's National Provider Identifier is 1255672564, issued on Mar 12, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Metropolis, IL. The record was last updated on Mar 12, 2013.