Individual
DR. EZRA LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
58087 BETTY LEE DRIVE, MOFFAT, CO 81143
(303) 929-0861
Mailing address
13918 E MISSISSIPPI AVE STE 60-638, AURORA, CO 80012-3603
(888) 201-0547
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001774
CO
106H00000X
Marriage & Family Therapist
233136
HI
106H00000X
Marriage & Family Therapist
MFT-879
HI
106H00000X
Marriage & Family Therapist
Primary
MFT.0002241
CO
106H00000X
Marriage & Family Therapist
MFT1500
LA
Other
Enumeration date
06/04/2020
Last updated
08/06/2025
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