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REQUEST FOR LETTER OF GOOD STANDING OR CREDENTIAL VERIFICATION
Only requests for Letters of Good Standing or Credential Verifications to be sent to licensing for LPC purposes or other credentialing organizations will be processed. Requests for letters of verification for any other purpose will not be completed or processed.
Professional Information & Contact
First Name:
Last Name:
Email:
Cell Phone:
Organization Information
Name:
Address:
Email:
Credential Information
Select all of the PCB's credentials you need included in your Letter of Good Standing/Verification:
AAC
CAAC
CADC
CAADC
CCJP
CCDPD
CCS
CRS
CFRS
CPS (Peer)
CPS (Prevention)
CCSM
CCMS
CAAP
CIP
Why are you requesting this letter?
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