Individual provider · Type 1 NPI

Eric Wesley Fadely, MA MA

Mental Health Counselor · Cocoa Beach, FL

NPI number 1174819650 Active

Practice location

3000 N Atlantic Ave Ste 102
Cocoa Beach, FL 32931-5045

Fax (321) 783-2290

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH 8755 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1174819650

Eric Wesley Fadely, MA MA's National Provider Identifier is 1174819650, issued on Jun 23, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cocoa Beach, FL. The record was last updated on Jun 23, 2011.