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General NPI Number Information
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NPI Number | 1265216055
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Entity Type | Individual
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Provider Name | FELICIA CAMERON MACKINS M. ED, LPCA, GCDF
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Gender | Female
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Dates
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Enumeration Date | 08/22/2023
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 1420 EBENEZER RD STE 101
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City | ROCK HILL
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State | SC
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Zip | 29732-2774
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Country | US
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Telephone | 803-627-8312
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Fax |
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Provider Business Mailing Address
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Address Line | 2299 SMITH RD
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City | CLOVER
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State | SC
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Zip | 29710-8659
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Country | US
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Telephone | 803-389-7623
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 9546
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License Number State | SC
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