Individual provider · Type 1 NPI
Eloise Antoinette Fairley
Addiction (Substance Use Disorder) Counselor · Gulfport, MS
NPI number
1497671150
Active
Practice location
1325 Foxwood Pl
Gulfport, MS 39507-3872
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1497671150
Eloise Antoinette Fairley's National Provider Identifier is 1497671150, issued on Jun 26, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gulfport, MS. The record was last updated on Jun 26, 2026.