BRANDON CLARK

COLUMBIA, MD
NPI1972054393
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  SC2296)
Enumeration Date2016-10-20
Last Update Date2016-10-20
Business Address
Mr. BRANDON CLARK CSC-AD
8930 STANFORD BLVD SUITE M 100
COLUMBIA, MD 21045-5805
Phone number: 443-285-0807
Mailing Address
Mr. BRANDON CLARK CSC-AD
8930 STANFORD BLVD SUITE M 100
COLUMBIA, MD 21045-5805
Phone number: 443-285-0807