Individual
ODONA S EZELL-WHIDDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2325 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-4500
(706) 653-6841
(706) 653-7843
Mailing address
PO BOX 63, ELLERSLIE, GA 31807-0063
(762) 359-0230
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC006827
GA
101YP2500X
Professional Counselor
LPC006827
GA
Other
Enumeration date
05/21/2019
Last updated
10/05/2022
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