Individual provider · Type 1 NPI

Kimberly Blair, LMHC

Addiction (Substance Use Disorder) Counselor · Bay Shore, NY

NPI number 1457040792 Active

Practice location

1444 5th Ave
Bay Shore, NY 11706-4147

Call (631) 647-3100 Map

Mailing address

1479 E 3rd Ave
Bay Shore, NY 11706-3023

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X017992 (NY)

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

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About NPI 1457040792

Kimberly Blair, LMHC's National Provider Identifier is 1457040792, issued on May 3, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bay Shore, NY. The record was last updated on Jul 16, 2026.