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

Mr. Brandon Clark, CSC-AD

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1972054393

Mr. Brandon Clark, CSC-AD is an Addiction (Substance Use Disorder) Counselor in Columbia, Maryland. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016

Practice location Address checks out

8930 Stanford Blvd Ste M 100
Columbia, MD 21045-5805
Phone: (443) 285-0807
Fax: (443) 285-0527
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 SC2296 (MD)

Record details

NPI number1972054393
Entity typeIndividual (Type 1)
GenderMale
Credentials CSC-AD
Sole proprietorNo
NPI enumeratedOctober 20, 2016
Last updated in NPPESOctober 20, 2016

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