Individual
LISA EZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
SPRING LAKE COUNSELING, 104 LAKE AVENUE, SPRING LAKE, NC 28390
(910) 920-1050
(910) 920-1051
Mailing address
5604 ROYAL PINES CIR, WADE, NC 28395-9088
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
20045A
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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