CRYSTAL CLEVENGER NPI 1417386830

NPI Information

NPI: 1417386830
Provider Name: CRYSTAL CLEVENGER
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2711 COLONIAL DR
COLUMBIA, SC
ZIP 29203
Phone: (803) 726-9300
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Crystal Clevenger is an addiction (substance use disorder) counselor in Columbia, SC. Crystal Clevenger NPI is 1417386830. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2711 COLONIAL DR
COLUMBIA, SC
ZIP 29203-818
Phone: (803) 726-9300

The enumeration date for this NPI number is 11/6/2013 and was last updated on 11/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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