Individual provider · Type 1 NPI
Tierra Ezell, ALC
Mental Health Counselor · Theodore, AL
NPI number
1467149104
Active
Practice location
7643 Broome Ct
Theodore, AL 36582-6312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | ALC04247 (AL) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Theodore
About NPI 1467149104
Tierra Ezell, ALC's National Provider Identifier is 1467149104, issued on Apr 21, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Theodore, AL. The record was last updated on Apr 24, 2023.