Individual provider · Type 1 NPI

Jeremy Craddock

Mental Health Counselor · Lexington, SC

NPI number 1306246251 Active

Practice location

301A Palmetto Park Blvd
Lexington, SC 29072-7872

Call (803) 359-3545 Map

Mailing address

34 Woodcross Dr, 210
Columbia, SC 29212-2355

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5624 (SC)

Mental Health Counselor: Definition to come...

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About NPI 1306246251

Jeremy Craddock's National Provider Identifier is 1306246251, issued on Aug 28, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lexington, SC. The record was last updated on Aug 28, 2014.