Individual provider · Type 1 NPI

Kristin Rae Clouse, CAC-AD #AC3668

Addiction (Substance Use Disorder) Counselor · Waldorf, MD

NPI number 1487560942 Active

Practice location

11100 Billingsley Rd
Waldorf, MD 20602-3400

Mailing address

8980 Darley Dr
La Plata, MD 20646-3190

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAC3668 (MD)

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

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About NPI 1487560942

Kristin Rae Clouse, CAC-AD #AC3668's National Provider Identifier is 1487560942, issued on Aug 24, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waldorf, MD. The record was last updated on Aug 24, 2026.