Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cody Waterman, ADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1407639636

Cody Waterman, ADT is an Addiction (Substance Use Disorder) Counselor in Frederick, Maryland. Licensed in Maryland. Registered with an NPI since 2023.

Licensed in
MD
In the registry since
2023

Practice location Address checks out

205 Broadway St Ste 110
Frederick, MD 21701-6760
Phone: (301) 637-0222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence ADT3307 (MD)

Record details

NPI number1407639636
Entity typeIndividual (Type 1)
GenderMale
Credentials ADT
Sole proprietorNo
NPI enumeratedAugust 14, 2023
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023

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