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DMH Case Management Professional

1 | DMH Mental Health Therapist Application Forms: Effective Date June 1, 2017 Mississippi Department of Mental Health (DMH) Division of Professional Licensure and Certification (PLACE) DMH PLACE Professional Credentialing DMH Mental Health Therapist Application Forms PCMHT & CMHT Effective Date June 1, 2017 CONTACT INFORMATION Mississippi Department of Mental Health (DMH) Bureau of Outreach, Planning and Development (OPD) Division of Professional Licensure and Certification (PLACE) 1101 Robert E. Lee Building 239 North Lamar Street Jackson, MS 39201 NOTICE: Only individuals who are currently employed in Mississippi s state mental health system, as defined in the most current version of the DMH PLACE Professional Credentialing Rules and Requirements document are eligible to apply for a DMH Professional credential.

2 | DMH Mental Health Therapist Application Forms: Effective Date – June 1, 2017 . Provisionally Certified Mental Health Therapist (PCMHT) Application Directions, Checklist & Forms

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