Individual provider · Type 1 NPI

Michaela Leona Ezell

Mental Health Counselor · Springfield, OR

NPI number 1982289047 Active

Practice location

3995 Marcola Rd
Springfield, OR 97477-7948

Fax (541) 726-5085

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1982289047

Michaela Leona Ezell's National Provider Identifier is 1982289047, issued on Mar 10, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, OR. The record was last updated on Mar 10, 2021.