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APPLICATION PACKET - Center for Credentialing & …

Board certified -Telemental Health APPLICATION 1 revised January 2017 APPLICATION PACKET This APPLICATION form is interactive. Download the form to your computer to fill it out. 3 TERRA CE WAY GREENSBORO, NC 27403-3660 USA TEL: +1 FAX: +1 The Board certified TeleMental Health provider (BC-TMH) mark is a trademark of the Center for Credentialing & Education, CCE and NBCC are registered trade and service marks of the National Board for certified Counselors, Inc. The Center f or Credentialing & Education, Inc. (CCE) values diversity.

Board Certified-TeleMental Health Provider Application . 4 published February 2018 APPLICANTS WITH NON-U.S. CREDENTIALS OR LICENSES If you hold a credential or license from outside the United States, you will need to arrange to have a

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