Individual
MS. KRISTIN ELIZABETH FAHEY
Active
Individual
MS. KRISTIN ELIZABETH FAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
F0109281305
GA
1041C0700X
Clinical Social Worker
Primary
CSW002239
GA
Other
Enumeration date
02/08/2008
Last updated
05/17/2022
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