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Individual

MRS. LUCY ELVIRA VICIOSO-HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1310 OAKCREST DR APT 318, COLUMBIA, SC 29223
(803) 386-8867
Mailing address
PO BOX 3788, COLUMBIA, SC 29230-3788
(803) 733-5969
(803) 753-5591

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701012483
VA
101YP2500X
Professional Counselor
6584
SC
101YP2500X
Professional Counselor
92542
TX
101YP2500X
Professional Counselor
Primary
LPC-21993
AZ
101YP2500X
Professional Counselor
MH23496
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6584
PROFESSIONAL COUNSELOR LICENSE NUMBER
SC
05
PC1936
SC
Enumeration date
03/17/2016
Last updated
10/21/2024
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