Individual provider · Type 1 NPI

Samantha Ezell

Mental Health Counselor · Ardmore, OK

NPI number 1487199527 Active

Practice location

115 W Broadway St, 401
Ardmore, OK 73401-6205

Call (580) 226-5209 Map

Fax (580) 226-5219

Mailing address

PO Box 1710
Kingston, OK 73439-1710

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487199527

Samantha Ezell's National Provider Identifier is 1487199527, issued on Dec 28, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ardmore, OK. The record was last updated on Dec 28, 2016.