Individual
BOBI R EZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
3104 BLUE LAKE DR STE 101, VESTAVIA, AL 35243-2345
(205) 977-3003
(205) 977-3939
Mailing address
3104 BLUE LAKE DR STE 101, VESTAVIA, AL 35243-2345
(205) 977-3003
(205) 977-3939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4069A
AL
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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