BRENDA VANCE
NPI 1477960797
Counselor - Addiction (Substance Use Disorder) in Clinton, MD
Active since July 18, 2014
About Brenda Vance NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENDA VANCE (NPI 1477960797) is an individual addiction (substance use disorder) provider in Clinton, Maryland, licensed in Maryland (AC1584) and active in the NPI registry since July 2014.
NPPES Registry Identity
NPI1477960797
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBRENDA VANCE
Location Address9314 PISCATAWAY RDClinton, MD 20735-3630
Mailing Address9314 Piscataway RdClinton, MD 20735-3630 · (301) 856-9585 · Fax (301) 856-9589
Phone(301) 856-9585
Fax(301) 856-9589
Sole ProprietorNo
Enumeration DateJuly 18, 2014
✔ NPI 1477960797 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MD · AC1584
9314 PISCATAWAY RD, Clinton, MD 20735
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Public Health or Welfare
9314 PISCATAWAY RD
CLINTON, MD 20735
CLINTON, MD 20735
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477960797, enumerated as an "individual" on July 18, 2014.
The provider is located at 9314 PISCATAWAY RD CLINTON, MD 20735 and the phone number is (301) 856-9585.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).