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Individual
KELLY COUSINO
Active
Individual
KELLY COUSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
41707-T
NY
175T00000X
Peer Specialist
5261
NY
175T00000X
Peer Specialist
6136
NY
Other
Enumeration date
09/05/2025
Last updated
01/20/2026
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