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1447031182
KENNETH FRALEY
SUFFOLK, VA
NPI
1447031182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: VA 0709025201)
Enumeration Date
2023-10-09
Last Update Date
2023-10-09
Business Address
KENNETH FRALEY QMHP-A, CSAC-S
2790 GODWIN BLVD STE 200
SUFFOLK, VA 23434-8151
Phone number: 866-934-7450
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Mailing Address
KENNETH FRALEY QMHP-A, CSAC-S
1773 CHASE POINTE CIR APT 527
VIRGINIA BEACH, VA 23454-7046
Phone number: 843-319-1228
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