person
Ivey N Croker
Peer Specialist in Charleston, South Carolina
NPI 1679037188

Ivey N Croker is a Peer Specialist based in Charleston, SC. Ivey N Croker practices in Charleston, SC. The NPI Number for Ivey N Croker is 1679037188 and holds a License No. (South Carolina).

The current practice location address for Ivey N Croker is 2100 Charlie Hall Blvd, Charleston, SC and can be reached out via phone at 843-852-4100.

Location: 2100 Charlie Hall Blvd, Charleston, SC, 29414-5832
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Provider Profile Details
NPI Number
1679037188
Provider Name
Ivey N Croker
Credential
Provider Entity Type
Individual
Gender
Female
Address
2100 Charlie Hall Blvd, Charleston, SC, 29414-5832
Phone Number
843-852-4100
Fax Number
Provider Enumeration Date
01/29/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1760596480 05 SC
institution
Provider Business Practice Location Address Details
Address
2100 Charlie Hall Blvd
City
State
Zip
29414-5832
Phone Number
843-852-4100
Fax Number
person
Provider Business Mailing Address Details
Address
2100 Charlie Hall Blvd
City
State
Zip
29414-5832
Phone Number
843-852-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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