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NPI Code Detail

MEDICARE: ASIA FELDER MA, NCC, LPC, ADC

MEDICARE: ASIA FELDER MA, NCC, LPC, ADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101Y00000XCounselor
3101YA0400XAddiction (Substance Use Disorder) Counselor
4101YP2500XProfessional Counselor10216SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720735939
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASIA FELDER MA, NCC, LPC, ADC
Provider Business Mailing Address
First Line : 40 BALDWIN AVE
Second Line :
City : LUGOFF
State : SC
Zip : 29078-9406
Country : US
Telephone Number : 803-408-3262
Fax Number :
Provider Business Practice Location Address
First Line : 40 BALDWIN AVE
Second Line :
City : LUGOFF
State : SC
Zip : 29078-9406
Country : US
Telephone Number : 803-408-3262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2022
Last Update Date : 01/23/2026

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