Individual provider · Type 1 NPI

Jordan Marie Clevenger

Addiction (Substance Use Disorder) Counselor · Spartanburg, SC

NPI number 1245788686 Active

Practice location

187 W Broad St
Spartanburg, SC 29306-3234

Mailing address

160 Tuscany Ln
Chesnee, SC 29323-8119

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1245788686

Jordan Marie Clevenger's National Provider Identifier is 1245788686, issued on Sep 14, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spartanburg, SC. The record was last updated on Sep 14, 2016.