Individual provider · Type 1 NPI

Diana Lynn Ezell, S/T, MS

Mental Health Counselor · Columbus, GA

NPI number 1386256097 Active

Practice location

2100 Comer Ave
Columbus, GA 31904-8725

Call (762) 822-0087 Map

Mailing address

1300 Adie St
Phenix City, AL 36867-6125

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1386256097

Diana Lynn Ezell, S/T, MS's National Provider Identifier is 1386256097, issued on Aug 24, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbus, GA. The record was last updated on Aug 24, 2020.