Individual provider · Type 1 NPI
Cody Waterman, ADT
Addiction (Substance Use Disorder) Counselor · Frederick, MD
NPI number
1407639636
Active
Practice location
205 Broadway St Ste 110
Frederick, MD 21701-6760
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | ADT3307 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1407639636
Cody Waterman, ADT's National Provider Identifier is 1407639636, issued on Aug 14, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Frederick, MD. The record was last updated on Aug 14, 2023.