Individual provider · Type 1 NPI

Jeremiah E. Clifford, LCDC

Addiction (Substance Use Disorder) Counselor · Deer Park, TX

NPI number 1376460964 Active

Practice location

4525 Glenwood Ave
Deer Park, TX 77536-7901

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16969 (TX)

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

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About NPI 1376460964

Jeremiah E. Clifford, LCDC's National Provider Identifier is 1376460964, issued on Jul 2, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Deer Park, TX. The record was last updated on Jul 2, 2026.