Individual provider · Type 1 NPI

Kervin L. Dejesus, CASAC-T

Addiction (Substance Use Disorder) Counselor · Long Island City, NY

NPI number 1336043108 Active

Practice location

2976 Northern Blvd Fl 2
Long Island City, NY 11101-2829

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT41253 (NY)

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

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About NPI 1336043108

Kervin L. Dejesus, CASAC-T's National Provider Identifier is 1336043108, issued on Oct 6, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Island City, NY. The record was last updated on Oct 6, 2026.