Individual provider · Type 1 NPI

Brandon Clark, CSC-AD

Addiction (Substance Use Disorder) Counselor · Columbia, MD

NPI number 1972054393 Active

Practice location

8930 Stanford Blvd, Suite M 100
Columbia, MD 21045-5805

Call (443) 285-0807 Map

Fax (443) 285-0527

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XSC2296 (MD)

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

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About NPI 1972054393

Brandon Clark, CSC-AD's National Provider Identifier is 1972054393, issued on Oct 20, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbia, MD. The record was last updated on Oct 20, 2016.