| Taundra Lavae Ezell, CDAC | |
|
350 S. Irwin, Holland, OH 43525 | |
| (567) 703-9064 | |
| Not Available |
| Full Name | Taundra Lavae Ezell |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 350 S. Irwin, Holland, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689166696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA167234 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Taundra Lavae Ezell, CDAC 350 S. Irwin, Holland, OH 43528 Ph: (567) 703-9064 | Taundra Lavae Ezell, CDAC 350 S. Irwin, Holland, OH 43525 Ph: (567) 703-9064 |
Justin Link, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 South Irwin Road, Holland, OH 43528 Phone: 567-703-9064 | |
Daniel Scott Lawrence, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6202 Trust Dr, Holland, OH 43528 Phone: 419-491-7300 | |
Mrs. Helene Solomon Daum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6202 Trust Dr, Holland, OH 43528 Phone: 419-824-8462 | |
Sarah Elizabeth Lyczkowski, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6202 Trust Dr, Holland, OH 43528 Phone: 419-824-8462 | |
Joshua Mietelski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6202 Trust Dr, Holland, OH 43528 Phone: 419-824-8462 | |
Teresa Nickole Dennis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6648 South Ave, Holland, OH 43528 Phone: 567-703-9064 | |
Melisha Gallutia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6202 Trust Dr, Holland, OH 43528 Phone: 419-824-8462 |