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General NPI Number Information
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NPI Number | 1508227653
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Entity Type | Individual
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Provider Name | LUCY ELVIRA VICIOSO-HARRIS LPC
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Gender | Female
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Dates
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Enumeration Date | 03/17/2016
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 1310 OAKCREST DR APT 318
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City | COLUMBIA
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State | SC
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Zip | 29223
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Country | US
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Telephone | 803-386-8867
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3788
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City | COLUMBIA
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State | SC
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Zip | 29230-3788
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Country | US
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Telephone | 803-733-5969
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Fax | 803-753-5591
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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 | 6584
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701012483
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH23496
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 92542
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-21993
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License Number State | AZ
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