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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY EADES, CDCA

Active

KELLY EADES, CDCA is a Counselor healthcare provider located in FAIRBORN, Ohio. NPI 1992423727 is currently active in the NPPES registry. Verify at CMS.

Counselor · FAIRBORN, OH

Registration Details

NPI Number
1992423727
Provider Type
Individual
Gender
Female
NPI Issued
Aug 18, 2022 (3.998130409117 yrs)
Last Updated
Aug 21, 2024
Licenses
CDCA.181467 (OH)
LCDCII.162034

Practice Information

Address
302 W MAIN ST
FAIRBORN, OH, 453245037
Browse OH providers · Browse ZIP 45324
Phone
9372814673
Fax
9373181120
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Behavior Technician
Additional Specialty
Case Manager
Additional Specialty
Counselor

Other Counselor Providers in FAIRBORN, OH

Name Credential NPI
AUSTIN HILKER 1427746379
LINDSEY CHAVERS CDCA 1912784810
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.