Kenneth Fraley Iii, QMHP-A, CSAC-S - Counselor in Suffolk, VA

Kenneth Fraley Iii, QMHP-A, CSAC-S is a Counselor - Addiction (substance Use Disorder) based in Suffolk, Virginia. Kenneth Fraley Iii is licensed to practice in Virginia (license number 0709025201) and his current practice location is 2790 Godwin Blvd Ste 200, Suffolk, Virginia. He can be reached at his office (for appointments etc.) via phone at (866) 934-7450.

NPI number for Kenneth Fraley Iii is 1447031182 and his current mailing address is 1773 Chase Pointe Cir Apt 527, Virginia Beach, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447031182.

Contact Information

Kenneth Fraley Iii, QMHP-A, CSAC-S
2790 Godwin Blvd Ste 200,
Suffolk, VA 23434-8151
(866) 934-7450
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKenneth Fraley Iii
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location2790 Godwin Blvd Ste 200, Suffolk, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1447031182
  • Provider Enumeration Date: 10/09/2023
  • Last Update Date: 10/09/2023

Medical Identifiers

Medical identifiers for Kenneth Fraley Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447031182NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 0709025201 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Fraley Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth Fraley Iii, QMHP-A, CSAC-S
1773 Chase Pointe Cir Apt 527,
Virginia Beach, VA 23454-7046

Ph: (843) 319-1228
Kenneth Fraley Iii, QMHP-A, CSAC-S
2790 Godwin Blvd Ste 200,
Suffolk, VA 23434-8151

Ph: (866) 934-7450

Reviews and Comments


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