Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Sherese Danielle Ezelle

Individual provider Mental Health Counselor · NPI 1962708610

MS. Sherese Danielle Ezelle is a Mental Health Counselor in Auburn, Washington. Qualified in 2011, 15 years ago. Practices as a sole proprietor. Licensed in Colorado, Virginia and Washington.

Years since qualifying
15
Licensed in
CO, VA, WA
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

702 37th St SE Apt B
Auburn, WA 98002-8062
Phone: (971) 770-0724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LH60664607 (WA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 0701010389 (VA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LPC.0017039 (CO)

Record details

NPI number1962708610
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 27, 2011
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025
Mailing address702 37th St Se Apt B, Auburn, WA 98002-8062

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

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