person
Johnnie Daniel Ezell
Mental Health Counselor in Rogers, Arkansas
NPI 1437471299

Johnnie Daniel Ezell is a Mental Health Counselor based in Bella Vista, AR and is specialized in Mental Health. Johnnie Daniel Ezell practices in Rogers, AR. The NPI Number for Johnnie Daniel Ezell is 1437471299 and holds a License No. 2021010667 (Arkansas).

The current practice location address for Johnnie Daniel Ezell is 1200 W Walnut St, Rogers, AR and can be reached out via phone at 479-636-0083 and via fax at 479-636-0144.

Location: 1200 W Walnut St, Rogers, AR, 72714-6333
person
Provider Profile Details
NPI Number
1437471299
Provider Name
Johnnie Daniel Ezell
Credential
Provider Entity Type
Individual
Gender
Male
Address
1200 W Walnut St, Rogers, AR, 72714-6333
Phone Number
479-636-0083
Fax Number
479-636-0144
Provider Enumeration Date
02/22/2010
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
1200 W Walnut St
City
State
Zip
72756-3521
Phone Number
479-636-0083
Fax Number
479-636-0144
person
Provider Business Mailing Address Details
Address
1200 W Walnut St
City
State
Zip
72756-3521
Phone Number
479-636-0083
Fax Number
479-636-0144
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
P8611021 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2021010667 (Missouri)
Definition
Definition to come...
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