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Individual

DR. GLACIA ETHRIDGE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHC, LPC, CRC, NCC

Contact information

Practice address
6650 RIVERS AVE STE 100, NORTH CHARLESTON, SC 29406-4809
(803) 606-9932
Mailing address
224 FOX RUN DR, HOPKINS, SC 29061-8662
(803) 606-9932

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
10865
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
24415
NC
101YM0800X
Mental Health Counselor
Primary
15500
NC
101YM0800X
Mental Health Counselor
Primary
A15500
NC

Other

Enumeration date
07/23/2020
Last updated
04/28/2026
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