person
Terry James Clark, CSC-AD
Addiction (Substance Use Disorder) Counselor in Baltimore, Maryland
NPI 1861688053

Terry James Clark is an Addiction (Substance Use Disorder) Counselor based in Baltimore, MD and is specialized in Addiction (Substance Use Disorder). Terry James Clark practices in Baltimore, MD and has the professional credentials of CSC-AD. The NPI Number for Terry James Clark is 1861688053 and holds a License No. SC0551 (Maryland).

The current practice location address for Terry James Clark is 111 Park Ave, Baltimore, MD and can be reached out via phone at 410-837-5533 and via fax at 410-837-2168.

Location: 111 Park Ave, Baltimore, MD, 21201-3402
person
Provider Profile Details
NPI Number
1861688053
Provider Name
Terry James Clark
Credential
CSC-AD
Provider Entity Type
Individual
Gender
Male
Address
111 Park Ave, Baltimore, MD, 21201-3402
Phone Number
410-837-5533
Fax Number
410-837-2168
Provider Enumeration Date
09/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 Park Ave
City
State
Zip
21201-3402
Phone Number
410-837-5533
Fax Number
410-837-2168
person
Provider Business Mailing Address Details
Address
111 Park Ave
City
State
Zip
21201-3402
Phone Number
410-837-5533
Fax Number
410-837-2168
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
SC0551 (Maryland)
Definition
Definition to come...
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