Individual provider · Type 1 NPI

Becki Clark, CAC-AD

Addiction (Substance Use Disorder) Counselor · Cumberland, MD

NPI number 1366973158 Active

Practice location

12503 Willowbrook Rd
Cumberland, MD 21502-2554

Fax (301) 777-5630

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAC0390 (MD)

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

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About NPI 1366973158

Becki Clark, CAC-AD's National Provider Identifier is 1366973158, issued on Mar 23, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cumberland, MD. The record was last updated on Mar 23, 2017.