Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jared Sidebotham, CSC-AD

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1972415719

Jared Sidebotham, CSC-AD is an Addiction (Substance Use Disorder) Counselor in Essex, Maryland. Licensed in Maryland. Registered with an NPI since 2026.

Licensed in
MD
In the registry since
2026

Practice location Address checks out

8909 Kelso Dr
Essex, MD 21221-3113
Phone: (410) 469-7036
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 (MD)

Record details

NPI number1972415719
Entity typeIndividual (Type 1)
GenderMale
Credentials CSC-AD
Sole proprietorNo
NPI enumeratedSeptember 17, 2026
Last updated in NPPESSeptember 17, 2026
Certification dateSeptember 17, 2026

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