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Becoming a Licensed Addiction Counselor (LAC) in South Carolina is a two-stage process: you first become an Addiction Counselor Associate, then, after supervised practice, you upgrade to full Licensed Addiction Counselor status. The South Carolina Board of Examiners sets detailed requirements for education, practicum/internship, examination, and supervised post‑master’s experience.
Below is a step‑by‑step outline, using the Board’s own terminology where it matters.
Under South Carolina law and Board regulation, addiction counseling licensure is organized as follows:
South Carolina law defines the “practice of addiction counseling” as providing professional services designed to change substance use or addictive behavior, involving specialized knowledge about addictions, including functions like gathering information through structured interviews, participating in treatment planning, providing client and family education, counseling individuals and groups, and maintaining professional and ethical standards. (scstatehouse.gov)
The term “supervision” is defined in statute as the supervision of clinical services under an approved supervisor, in accordance with Board standards. (scstatehouse.gov)
To qualify for Addiction Counselor Associate (the first step toward LAC), you must meet one of the Board’s educational pathways.
You can qualify by showing evidence of graduation from an addiction counseling program accredited by CACREP (Council for Accreditation of Counseling & Related Educational Programs) at the time of graduation. (llr.sc.gov)
If your program is not CACREP‑accredited in addiction counseling, you must show: (llr.sc.gov)
On your graduate transcript(s), 27 of the 48 hours must be in the following content areas (any combination, as long as at least 27 hours total are represented): (llr.sc.gov)
The Board requires that your degree program (or accepted equivalents) include specific field experiences: (llr.sc.gov)
Practicum
Internship
“Direct client contact” here refers to face‑to‑face (or synchronous telehealth) clinical services where you are directly providing counseling or related therapeutic services to clients, as opposed to purely administrative or support activities; this meaning is consistent with how South Carolina describes similar requirements for other counseling licenses. (llr.sc.gov)
The Board requires addiction counseling candidates to pass one of two national specialty exams: (llr.sc.gov)
On the Board’s addiction counselor page, you’ll see this under “Examination,” and earlier on that same page they state that Addiction Counselor Associate applicants must meet education and examination requirements. (llr.sc.gov)
In practice, most candidates:
Once you meet the education and exam criteria, you apply for Addiction Counselor Associate with the Board. Key points from the Board’s requirements: (llr.sc.gov)
During this stage, all clinical practice in addiction counseling is performed under supervision (either by a Licensed Addiction Counselor Supervisor or another Board‑approved Qualified Licensed Mental Health Practitioner).
This is the part where the Board’s exact hours and terminology matter most.
To become a Licensed Addiction Counselor (LAC), the Board requires documentation of: (llr.sc.gov)
“a minimum of one thousand one hundred twenty (1120) hours of post-master's clinical experience and post master's clinical supervision in the practice of addiction counseling performed over a period of not fewer than two (2) years.”
Important points:
Within those 1,120 total hours, the Board further specifies: (llr.sc.gov)
Direct client contact with addiction clients
Supervision hours
These 1,120 hours are explicitly described by the Board as “post-master's clinical experience and post master's clinical supervision in the practice of addiction counseling” and are obtained while you hold the Associate license. (llr.sc.gov)
The Board specifies that your supervision must be provided by: (llr.sc.gov)
For supervisory purposes, the Board describes a QLMHP as someone who is:
provided the person is Board‑approved and has the knowledge and expertise necessary to provide addiction counseling supervision, including diagnosis and treatment of serious problems as categorized in standard diagnostic nomenclature.
Supervision itself must focus on your clinical services—case consultation, treatment planning, ethics, professional development—rather than merely administrative oversight.
After you complete:
you apply to the Board to convert your license from Addiction Counselor Associate to Licensed Addiction Counselor.
The Board requires: (llr.sc.gov)
Once the Board verifies your education, exam, and the full supervised clinical requirement, it issues the Licensed Addiction Counselor (LAC) license.
A few additional points from South Carolina law and regulation that frame the LAC role:
For quick reference, the post‑degree supervised requirement for Licensed Addiction Counselor (LAC) in South Carolina is:
These figures are the Board’s current requirements for LAC (addiction counseling) and are not the same as the 1,500‑hour models used for some other counseling licenses in South Carolina.
Because requirements can change, it is always wise to confirm details directly with the South Carolina Board of Examiners (via the LLR website) before submitting applications or making long‑term plans.
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