Individual provider · Type 1 NPI

Derek Kennedy, CASAC

Addiction (Substance Use Disorder) Counselor · New York, NY

NPI number 1821486622 Active

Practice location

177 E 122nd St
New York, NY 10035-2906

Call (212) 360-7116 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18393 (NY)

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

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About NPI 1821486622

Derek Kennedy, CASAC's National Provider Identifier is 1821486622, issued on Dec 31, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Dec 31, 2014.