Individual provider · Type 1 NPI

Kesha Outlaw

Mental Health Counselor · New York, NY

NPI number 1841659752 Active

Practice location

2090 Adam Clayton Powell Jr Blvd
New York, NY 10027-4990

Mailing address

405 E 92nd St, Apt 12A
New York, NY 10128-6814

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1841659752

Kesha Outlaw's National Provider Identifier is 1841659752, issued on Feb 19, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Sep 8, 2016.