alcohol-application for Licensure

Please check if you are applying for: Attach two, full-face passport- Written Examination style photographs (2 x 2 ) of your Oral Examination head and shoulders, taken within Written and Oral Examinations the past six months. _____. New Jersey Office of the Attorney general Date exam passed Two photographs are required Division of Consumer Affairs with each application. State Board of Marriage and Family Therapy Examiners Certified Alcohol and Alcohol and Drug Counselor Committee Drug Counselor ( ). Do not use staples to attach the 124 Halsey Street, 6th Floor, Box 45040 Licensed Clinical photographs.

New Jersey Office of the Attorney General Division of Consumer Affairs State Board of Marriage and Family Therapy Examiners Alcohol and Drug Counselor Committee 124 Halsey Street, 6th Floor, P.O. Box 45040 Newark, New Jersey 07101 (973) 504-6582 Application for Licensure as a Clinical Alcohol and Drug Counselor or

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