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Mrs. Tierra Ezell, ALC
Mental Health Counselor in Theodore, Alabama
NPI 1467149104

Tierra Ezell is a Mental Health Counselor based in Theodore, AL and is specialized in Mental Health. Tierra Ezell practices in Theodore, AL and has the professional credentials of ALC. The NPI Number for Tierra Ezell is 1467149104 and holds a License No. (Alabama).

The current practice location address for Tierra Ezell is 7643 Broome Ct, Theodore, AL and can be reached out via phone at 251-402-9072.

Location: 7643 Broome Ct, Theodore, AL, 36582-6312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467149104
Provider Name
Tierra Ezell
Credential
ALC
Provider Entity Type
Individual
Gender
Female
Address
7643 Broome Ct, Theodore, AL, 36582-6312
Phone Number
251-402-9072
Fax Number
Provider Enumeration Date
04/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7643 Broome Ct
City
Theodore
State
Alabama
Zip
36582-6312
Phone Number
251-402-9072
Fax Number
person
Provider Business Mailing Address Details
Address
7643 Broome Ct
City
Theodore
State
Alabama
Zip
36582-6312
Phone Number
251-402-9072
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
ALC04247 (Alabama)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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