Organization · Type 2 NPI
Clean and Sober
Addiction (Substance Use Disorder) Counselor · Forestville, MD
NPI number
1629127816
Active
Practice location
7610 Pennsylvania Ave, Suite 104
Forestville, MD 20747-4701
Fax (301) 420-3492
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15662 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Forestville
About NPI 1629127816
Clean and Sober's National Provider Identifier is 1629127816, issued on Jan 9, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Forestville, MD. The record was last updated on Sep 6, 2013.