Individual provider · Type 1 NPI
Marlene A. Bucklew, CAC-AD
Addiction (Substance Use Disorder) Counselor · Baltimore, MD
NPI number
1639159080
Active
Practice location
2117 Maryland Ave
Baltimore, MD 21218-5614
Fax (410) 837-0639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | AC0407 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1639159080
Marlene A. Bucklew, CAC-AD's National Provider Identifier is 1639159080, issued on Jan 20, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baltimore, MD. The record was last updated on Jul 13, 2026.