Charnel L Fairley

NPI #1114887098 in Griffith, Indiana

Provider Information

NPI Number: 1114887098
Entity Type: Individual
Name: Charnel L Fairley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Nov 13, 2025
Last Updated: Nov 13, 2025

Practice Location

Address: 715 W MILLER ST APT 6
City: Griffith
State: Indiana
ZIP Code: 46319-2198
Phone: (312) 515-6987

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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