Kelly Eades, CDCA

NPI #1992423727 in Fairborn, Ohio

Provider Information

NPI Number: 1992423727
Entity Type: Individual
Name: Kelly Eades, CDCA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: CDCA
Enumeration Date: Aug 18, 2022
Last Updated: Aug 21, 2024

Practice Location

Address: 302 W MAIN ST
City: Fairborn
State: Ohio
ZIP Code: 45324-5037
Phone: (937) 281-4673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Behavior Technician	106S00000X
Case Manager/Care Coordinator	171M00000X
Counselor	101Y00000X	Primary

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