person
Mr. Ivey Ike Grozier III, MA,LAADC,CADC-II,
Addiction (Substance Use Disorder) Counselor in Menlo Park, California
NPI 1922363266

Ivey Ike Grozier III is an Addiction (Substance Use Disorder) Counselor based in Menlo Park, CA and is specialized in Addiction (Substance Use Disorder). Ivey Ike Grozier III practices in Menlo Park, CA and has the professional credentials of MA,LAADC,CADC-II,. The NPI Number for Ivey Ike Grozier III is 1922363266 and holds a License No. LR390411 (California).

The current practice location address for Ivey Ike Grozier III is 795 Willow Rd # 332, Menlo Park, CA and can be reached out via phone at 650-324-1470 and via fax at 650-324-4149.

Location: 795 Willow Rd # 332, Menlo Park, CA, 94025-2539
person
Provider Profile Details
NPI Number
1922363266
Provider Name
Ivey Ike Grozier III
Credential
MA,LAADC,CADC-II,
Provider Entity Type
Individual
Gender
Male
Address
795 Willow Rd # 332, Menlo Park, CA, 94025-2539
Phone Number
650-324-1470
Fax Number
650-324-4149
Provider Enumeration Date
07/12/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
795 Willow Rd # 332
City
State
Zip
94025-2539
Phone Number
650-324-1470
Fax Number
650-324-4149
person
Provider Business Mailing Address Details
Address
795 Willow Rd # 332
City
State
Zip
94025-2539
Phone Number
650-324-1470
Fax Number
650-324-4149
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LR390411 (California)
Definition
Definition to come...
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