MRS. Tierra Ezell, ALC

NPI #1467149104 in Theodore, Alabama

Provider Information

NPI Number: 1467149104
Entity Type: Individual
Name: MRS. Tierra Ezell, ALC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: ALC
Enumeration Date: Apr 21, 2023
Last Updated: Apr 24, 2023

Practice Location

Address: 7643 BROOME CT
City: Theodore
State: Alabama
ZIP Code: 36582-6312
Phone: (251) 402-9072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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