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APPLICATION FOR LICENSURE AS A PROFESSIONAL …

1 | P a g e APPLICATION FOR LICENSURE AS A PROFESSIONAL counselor GEORGIA STATE BOARD OF PROFESSIONAL COUNSELORS, SOCIAL WORKERS, AND MARRIAGE & FAMILY THERAPISTS 237 Coliseum Drive, Macon, Georgia 31217-3858 Phone: (404) 424-9966 Board of PROFESSIONAL Counselors, Social Workers, and Marriage & Family Therapists | Georgia Secretary of State ( ) Please read the instructions carefully and be familiar with the laws and rules governing the practice of PROFESSIONAL Counseling in the State of Georgia. Visit the Board web site for information. APPLICATION Checklist The following checklist is an important part of your APPLICATION .

supervisor that has provided clinical supervision which means the direct clinical review, for the purpose of teaching or training, of a professional counselor’s interaction with client(s) and document the hours required to meet minimum licensure requirements. For a missing or deceased supervisor, Form F may be submitted.

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  Professional, Clinical, Counselor, Professional counselor

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