REGINALD EZELL

LOUISVILLE, KY
NPI1184162224
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  119916)
Enumeration Date2017-02-09
Last Update Date2017-02-09
Business Address
-- REGINALD EZELL CADC
1017 W MARKET ST
LOUISVILLE, KY 40202
Phone number: 502-585-4848
Mailing Address
-- REGINALD EZELL CADC
1020 W MARKET ST
LOUISVILLE, KY 40202-2630
Phone number: 502-585-4848
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