Individual provider · Type 1 NPI

Jared Sidebotham, CSC-AD

Addiction (Substance Use Disorder) Counselor · Essex, MD

NPI number 1972415719 Active

Practice location

8909 Kelso Dr
Essex, MD 21221-3113

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

6 other providers at this address

Other addiction (substance use disorder) counselor providers in Essex

See all in Essex →

About NPI 1972415719

Jared Sidebotham, CSC-AD's National Provider Identifier is 1972415719, issued on Sep 17, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Essex, MD. The record was last updated on Sep 17, 2026.