Terry James Clark, CSC-AD
Terry James Clark, CSC-AD is an Addiction (Substance Use Disorder) Counselor in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2007.
- Licensed in
- MD
- In the registry since
- 2007
Practice location Address checks out
111 Park AveBaltimore, MD 21201-3402
Phone: (410) 837-5533
Fax: (410) 837-2168
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence SC0551 (MD) |
|---|
Record details
| NPI number | 1861688053 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CSC-AD |
| Sole proprietor | No |
| NPI enumerated | September 20, 2007 |
| Last updated in NPPES | September 20, 2007 |
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