Individual
AMANDA KAY EZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, BC-TMH
Contact information
Practice address
26438 HIGHWAY 134 STE B, ENTERPRISE, AL 36330-6544
(334) 475-3729
Mailing address
26438 HIGHWAY 134 STE B, ENTERPRISE, AL 36330-6544
(334) 475-3729
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2744
AL
Other
Enumeration date
10/16/2018
Last updated
11/05/2024
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