Individual
MRS. NANCY CAMPBELL MAHIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LPC-S, CACII
Contact information
Practice address
219 HUMAN SERVICES RD, CLINTON, SC 29325-7548
(864) 833-6500
(864) 833-6905
Mailing address
219 HUMAN SERVICES RD, CLINTON, SC 29325-7548
(864) 833-6500
(864) 833-6905
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CERT # 12122110
SC
101YP2500X
Professional Counselor
Primary
2382
SC
101YP2500X
Professional Counselor
5223
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421504
—
SC
Enumeration date
09/07/2006
Last updated
02/07/2013
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