Most Relevant Information
Provider Data
| NPI Number: | 1003672569 |
| Provider Name: | ANDREA FAWLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 1772 |
Most Important Dates
| Enumeration Date: | 02/22/2024 |
| Last Updated: | 03/15/2024 |
Provider Practice Location
1441 GUTHRIE DR NW STE 205
CLEVELAND
TN
373113642
Practice Location Phone/Fax
| Phone: | 4236507543 |
| Fax: |
Provider Mailing Location
1441 GUTHRIE DR NW STE 205
CLEVELAND
TN
373113642
Provider Mailing Phone/Fax
| Phone: | 4236507543 |
| Fax: |