Individual
MS. SHERESE DANIELLE EZELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 37TH ST SE APT B, AUBURN, WA 98002-8062
(971) 770-0724
Mailing address
702 37TH ST SE APT B, AUBURN, WA 98002-8062
(206) 331-9746
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701010389
VA
101YM0800X
Mental Health Counselor
LPC.0017039
CO
101YP2500X
Professional Counselor
Primary
LH60664607
WA
Other
Enumeration date
01/27/2011
Last updated
11/11/2025
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