Terry James Clark in Baltimore - Addiction (substance Use Disorder)
Terry James Clark - NPI 1861688053
Terry James Clark is a Addiction (substance Use Disorder) in Baltimore, Maryland. Terry James Clark practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Terry James Clark is 1861688053. The last update date is 2007-09-20.
Terry James Clark's current location address is 111 Park Ave, Baltimore, Maryland. You can contact this provider via phone number 4108375533 and fax number 4108372168. The mailing address for Terry James Clark is 111 Park Ave, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry James Clark |
|---|---|
| Address | 111 Park Ave, Baltimore, Maryland |
| Phone Number | 4108375533 |
| Fax Number | 4108372168 |
| Sole Proprietor | N |
| Credentials | CSC-AD |
NPI Number Detail
| NPI Number | 1861688053 |
|---|---|
| Provider Enumeration Date | 2007-09-20 |
| Last Updated Date | 2007-09-20 |
Provider Mailing Address Detail
| Address | 111 Park Ave |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212013402 |
| Phone Number | 4108375533 |
| Fax Number | 4108372168 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | SC0551 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Terry James Clark by the Centers for Medicare & Medicaid Services?
The Terry James Clark has been issued the NPI (National Provider Identifier) 1861688053 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Terry James Clark's facilities are geographically located?
The facilities of Terry James Clark are physically situated at the following location: 111 Park Ave, Baltimore, MD, 212013402.
What is Terry James Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Terry James Clark is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did the Terry James Clark receive the assignment of its 1861688053 from the Centers for Medicare & Medicaid Services?
The Terry James Clark was issued its 1861688053 by the Centers for Medicare & Medicaid Services on 2007-09-20.
As of what date were the details related to Terry James Clark most recently updated or revised?
The information pertaining to Terry James Clark, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-20.