KATHLEEN FADER LICSW NPI 1295131217

NPI Information

Kathleen Fader, LICSW is a peer specialist in Peabody, MA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Kathleen Fader, LICSW NPI is 1295131217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13 MEADE ST
PEABODY, MA
ZIP 01960-627
Phone: (978) 979-7391

The enumeration date for this NPI number is 11/19/2014 and was last updated on 6/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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