Individual provider · Type 1 NPI

Kristen Soukup, LCSW

Mental Health Counselor · New York, NY

NPI number 1841985132 Active

Practice location

109 W 27th St Ste 5S
New York, NY 10001-6208

Call (833) 351-8255 Map

Mailing address

288 Penbrooke Dr
Penfield, NY 14526-2024

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X93875 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1841985132

Kristen Soukup, LCSW's National Provider Identifier is 1841985132, issued on Apr 11, 2023. 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 Oct 10, 2023.