Individual provider · Type 1 NPI

Ethan Fudge

Counselor · Brooklyn, NY

NPI number 1497678189 Active

Practice location

789 Saint Marks Ave Apt 22B
Brooklyn, NY 11213-1426

Call (818) 903-1941 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Other counselor providers in Brooklyn

See all in Brooklyn →

About NPI 1497678189

Ethan Fudge's National Provider Identifier is 1497678189, issued on Jul 31, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 31, 2026.