person
Kenneth Fraley III, QMHP-A,CSAC-S
Addiction (Substance Use Disorder) Counselor in Suffolk, Virginia
NPI 1447031182

Kenneth Fraley III is an Addiction (Substance Use Disorder) Counselor based in Virginia Beach, VA and is specialized in Addiction (Substance Use Disorder). Kenneth Fraley III practices in Suffolk, VA and has the professional credentials of QMHP-A,CSAC-S. The NPI Number for Kenneth Fraley III is 1447031182 and holds a License No. 0709025201 (Virginia).

The current practice location address for Kenneth Fraley III is 2790 Godwin Blvd Ste 200, Suffolk, VA and can be reached out via phone at 866-934-7450.

Location: 2790 Godwin Blvd Ste 200, Suffolk, VA, 23454-7046
person
Provider Profile Details
NPI Number
1447031182
Provider Name
Kenneth Fraley III
Credential
QMHP-A,CSAC-S
Provider Entity Type
Individual
Gender
Male
Address
2790 Godwin Blvd Ste 200, Suffolk, VA, 23454-7046
Phone Number
866-934-7450
Fax Number
Provider Enumeration Date
10/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2790 Godwin Blvd Ste 200
City
State
Zip
23434-8151
Phone Number
866-934-7450
Fax Number
person
Provider Business Mailing Address Details
Address
2790 Godwin Blvd Ste 200
City
State
Zip
23434-8151
Phone Number
866-934-7450
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0709025201 (Virginia)
Definition
Definition to come...
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