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General NPI Number Information
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NPI Number | 1487433116
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Entity Type | Individual
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Provider Name | JACQUELINE GLENN DRUMMOND LPC
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Gender | Female
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Dates
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Enumeration Date | 09/22/2023
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 1463 E MAIN ST STE C
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City | SPARTANBURG
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State | SC
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Zip | 29307-2246
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Country | US
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Telephone | 864-362-1840
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Fax |
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Provider Business Mailing Address
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Address Line | 247 THORNCREST DR
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City | PAULINE
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State | SC
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Zip | 29374-1626
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Country | US
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Telephone | 864-266-8390
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 9206
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License Number State | SC
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