Individual provider · Type 1 NPI

Kelly Cousino

Addiction (Substance Use Disorder) Counselor · Plattsburgh, NY

NPI number 1306726740 Active

Practice location

80 Sharron Ave
Plattsburgh, NY 12901-4700

Call (518) 561-1447 Map

Fax (518) 562-8812

Mailing address

79 Glenridge Rd
Glenville, NY 12302-4528

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000X5261 (NY)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X41707-T (NY)
Peer Specialist 175T00000X6136 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1306726740

Kelly Cousino's National Provider Identifier is 1306726740, issued on Sep 5, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Plattsburgh, NY. The record was last updated on Jan 20, 2026.