| RECERTIFICATION
FOR ALL CREDENTIALS |
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| CERTIFICATE OF COMPETENCY IN PROBLEM
GAMBLING |
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Application for Certificate of Competency in Problem Gambling
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| COUNSELOR |
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AAC
Application for Associate Addiction Counselor I & II |
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CAC - Bachelor's Level
Application for Certified Addiction Counselor |
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CAC
Diplomate - Master's Level
Application for Certified Addiction Counselor Diplomate |
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CAC Diplomate Upgrade
Application for current Certified Addiction Counselors to upgrade to
Diplomate |
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| CCS |
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Application for Certified Clinical Supervisor |
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| PREVENTION SPECIALIST |
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APS
Application for Associate Prevention Specialist I & II |
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CPS
Application for Certified Prevention Specialist |
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| CRIMINAL JUSTICE
ADDICTIONS PROFESSIONAL |
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CCJP
Application for Certified Criminal Justice Addictions Professional |
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| CASE MANAGER/CASE MANAGER SUPERVISOR |
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CCSM
Application for Certified Case Manager and Supervisor |
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| ALLIED ADDICTION PRACTITIONER |
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CAAP
Application for Certified Allied Addiction Practitioner |
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| CO-OCCURRING
DISORDERS PROFESSIONAL |
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CCDP - Bachelor's Level
Application for Certified Co-Occurring Disorders Professional |
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CCDP Diplomate - Master's Level
Application for Certified Co-Occurring Disorders Professional Diplomate |
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RECOVERY SPECIALIST |
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CRS
Application for Certified Recovery Specialist |
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| EXPIRATION DATE
CHANGE REQUEST FORM |
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| EDUCATION APPROVAL
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Sponsoring Organizations
Approval application for agencies sponsoring education. |
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Distance Learning
Approval application for agencies sponsoring distance learning education. |
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Provider Status Agreement
Application for organizations to apply for Provider Status. |
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Provider Status Renewal
Application for organizations to renew Provider Status. |
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Individual Approval
Application for individuals needing education approval for recertification. |
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