Individual provider · Type 1 NPI

Etienne Domingo Ezeff

Mental Health Counselor · Cotati, CA

NPI number 1295411502 Active

Practice location

420 E Cotati Ave
Cotati, CA 94931-4442

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1295411502

Etienne Domingo Ezeff's National Provider Identifier is 1295411502, issued on Jun 22, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cotati, CA. The record was last updated on Jun 22, 2023.