Individual
MR. DAVID L EZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
39 SHERMAN CT, FAIRFIELD, CT 06824-5852
(203) 883-0464
(203) 883-0464
Mailing address
PO BOX 3514, NEW YORK, NY 10008-3514
(203) 883-0464
(203) 883-0464
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2481
CT
101Y00000X
Counselor
LH60112655
WA
101YM0800X
Mental Health Counselor
2481
CT
101YM0800X
Mental Health Counselor
Primary
LH60112655
WA
101YP2500X
Professional Counselor
2481
CT
101YP2500X
Professional Counselor
LH60112655
WA
Other
Enumeration date
01/26/2011
Last updated
01/31/2014
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