Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Fraley III, QMHP-A, CSAC-S

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1447031182

Kenneth Fraley III, QMHP-A, CSAC-S is an Addiction (Substance Use Disorder) Counselor in Suffolk, Virginia. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023

Practice location Address checks out

2790 Godwin Blvd Ste 200
Suffolk, VA 23434-8151
Phone: (866) 934-7450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 0709025201 (VA)

Record details

NPI number1447031182
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHP-A , CSAC-S
Sole proprietorNo
NPI enumeratedOctober 9, 2023
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023

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