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General NPI Number Information
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NPI Number | 1013438555
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Entity Type | Individual
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Provider Name | WILLIAM EARL EZZELLE LPC
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Gender | Male
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 60 PALMERS HILL RD
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City | STAMFORD
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State | CT
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Zip | 06902-2113
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Country | US
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Telephone | 203-614-9942
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Fax |
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Provider Business Mailing Address
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Address Line | 150 SOUTHFIELD AVE APT 2120
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City | STAMFORD
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State | CT
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Zip | 06902-7764
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Country | US
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Telephone | 276-415-0739
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0718000610
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 78816
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC00934800
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0701010791
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00934800
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701010791
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 78816
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6632
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License Number State | CT
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Taxonomy #9
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6632
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License Number State | CT
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