Individual provider · Type 1 NPI

Taundra Lavae Ezell, CDAC

Addiction (Substance Use Disorder) Counselor · Holland, OH

NPI number 1689166696 Active

Practice location

350 S. Irwin
Holland, OH 43525

Call (567) 703-9064 Map

Mailing address

350 S. Irwin
Holland, OH 43528

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA167234 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1689166696

Taundra Lavae Ezell, CDAC's National Provider Identifier is 1689166696, issued on Jun 5, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Holland, OH. The record was last updated on Jun 5, 2018.