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Individual

KERI GUEST DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC, LPC/S, LAC

Contact information

Practice address
1629 RUBY RD, HARTSVILLE, SC 29550-2407
(843) 942-9597
(843) 326-4816
Mailing address
1629 RUBY RD, HARTSVILLE, SC 29550-2407
(843) 942-9597
(843) 326-4816

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
565
SC
101YM0800X
Mental Health Counselor
5651
SC
101YP2500X
Professional Counselor
Primary
5651
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PC1374
SC
Enumeration date
02/12/2013
Last updated
08/02/2024
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