Ezell, David L

Ezell, David L is an sole proprietor health care provider with primary practice located at 39 Sherman Ct , Fairfield CT 06824-5852. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Ezell, David L can be contacted via phone (203) 883-0464.

Contact Information

Primary practice address
39 Sherman Ct Fairfield CT 06824-5852
Phone: (203) 883-0464
Fax: (203) 883-0464
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH60112655 Washington
Behavioral Health & Social Service Providers / Professional 101YP2500X LH60112655 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2481 Connecticut
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2481 Connecticut
Behavioral Health & Social Service Providers / Professional 101YP2500X 2481 Connecticut
Behavioral Health & Social Service Providers / Counselor 101Y00000X LH60112655 Washington

Profile Details

NPI number 1750687521
LBN Legal business name Ezell, David L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2011
Last updated Jan 31st, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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