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 Professional Counselor License Application 2016

Professional Counselor License Application 2016

Use a Professional Counselor License Application 2016 template to make your document workflow more streamlined.

Complete. I understand that any omitted statement misrepresentation or fraud may be cause for denial of my application disciplinary action or may be punishable by law. I further attest that I have a written policy for protecting maintaining and providing access to my medical records in accordance with Section 16213 of the Public Health Code 1978 PA 368 MCL 333. DO NOT SEND CASH. Fees are non-refundable. LARA/BPL-COUNSELAPP 11/16 The Department of Licensing and Regulatory Affairs will not...
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