Individual provider · Type 1 NPI

Kim Leslie-Underwood, MHC-LP, CASAC-2

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1750979498 Active

Practice location

804 E 138th St
Bronx, NY 10454-1932

Call (609) 942-9479 Map

Other practice locations

  • 168 E 107th St, New York, NY 10029-3953 · (609) 942-9479

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XP106105 (NY)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13055 (NY)

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

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About NPI 1750979498

Kim Leslie-Underwood, MHC-LP, CASAC-2's National Provider Identifier is 1750979498, issued on Jan 7, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Apr 17, 2025.