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Individual
STEPHANIE HOPE ALEXANDRA BILLINGSLEY EZEA
Active
Individual
STEPHANIE HOPE ALEXANDRA BILLINGSLEY EZEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA080412
OH
101YM0800X
Mental Health Counselor
E0800287
OH
101YP2500X
Professional Counselor
Primary
E.0800287
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074861
MEDICAID-ODADAS
—
01
—
0074946
MEDICAID-ODMH
OH
01
—
01-0693
CARF CERTIFICATION
OH
01
—
H130910
MEDICARE GROUP PTAN
OH
Enumeration date
11/11/2015
Last updated
07/21/2022
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