Ezekiel Moreno is a Counselor based in Lansing, MI. Ezekiel Moreno practices in Lansing, MI. The NPI Number for Ezekiel Moreno is 1215566757 and holds a License No. SC0000000913456 (Michigan).
The current practice location address for Ezekiel Moreno is 1412 Bentwood Dr, Lansing, MI and can be reached out via phone at 517-272-1478.
Location: 1412 Bentwood Dr, Lansing, MI, 48917-2035
Provider Profile Details
NPI Number
1215566757
Provider Name
Ezekiel Moreno
Credential
Provider Entity Type
Individual
Gender
Male
Address
1412 Bentwood Dr, Lansing, MI, 48917-2035
Phone Number
517-272-1478
Fax Number
Provider Enumeration Date
04/06/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1412 Bentwood Dr
City
State
Zip
48917-2035
Phone Number
517-272-1478
Fax Number
Provider Business Mailing Address Details
Address
1412 Bentwood Dr
City
State
Zip
48917-2035
Phone Number
517-272-1478
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
6401018236 (Michigan)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
SC0000000913456 (Michigan)
Definition
Definition to come...
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