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Agency Affiliated Counselor Employment Verification Form

Agency Affiliated Counselor Employment Verification Form Author: Washington State Department of Health Subject: A one page form that is completed with the agency affiliated cousneling application or once a credential has been issued. This form can add an agency to the license, update or change an agency on a license, or add an additional agency.

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  Agency, Counselor, Affiliated, Agency affiliated counselor, Agency affiliated

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