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	PLB Home Page Home Page Board Members Board Meetings Complaint Reporting Forms License Directory Related Sites Renewal Rules and Regulations  Current   Rules & Regulations				If you know which application package you need, click on the title to retrieve the complete package or the individual form. To assist you in determining which method of licensure or certification you might select, click here.   APPLICATION PACKETS: RE-APPLICATION PACKETS   For an Expired License Addictions Therapy For an Expired Certificate  Provisional Addictions Therapist (PAT)   Licensed Addictions Therapist by Completing Provisional INDIVIDUAL FORMS: Licensed Addictions Therapist by Reciprocity (LAT) Information Change Request Licensed Addictions Therapist as a 2nd License (LAT) License/Certification Verification Request Form Certified Addictions Practitioner by Examination (CAP) List A & B Certified Addictions Practitioner by Reciprocity (CAP) Professional Reference Certified Addictions Practitioner Assistant by Examination (CAPA) Roster Request State License/Certification Verification Certified Addictions Practitioner Assistant by Reciprocity (CAPA) Supervision Agreement- Certified Supervision Agreement- Provisional Training Evaluation- CAPA   Transcript Evaluation- CAP Clinical Social Work Transcript Evaluation- LAT Provisional Clinical Social Worker (PCSW) Transcript Evaluation- LMFT Licensed Clinical Social Worker by Completing Provisional Transcript Evaluation- LPC Licensed Clinical Social Worker by Reciprocity (LCSW) Verification and Evaluation of Supervised Experience Certified Social Worker by Examination (CSW)   Certified Social Worker by Reciprocity (CSW) ADDICTIONS THERAPY EXAMINATION INFORMATION   NAADAC Examination Fact Sheet and Application Marriage and Family Therapy   Provisional Marriage and Family Therapist (PMFT)   Licensed Marriage and Family Therapist by Completing Provisional   Licensed Marriage and Family Therapist by Reciprocity (LMFT)       Professional Counseling   Provisional Professional Counselor (PPC)   Licensed Professional Counselor by Completing Provisional   Licensed Professional Counselor by Reciprocity (LPC)   To assist you in determining which type and method of licensure or certification you might select, answer the question.               Have you been awarded a master's degree in Counseling, Social Work, Marriage and Family Therapy or Addictions Therapy from an educational institution accredited by one of the regional or national institutional accrediting bodies recognized by the Council for Higher Education Accreditation (CHEA)?                                       Click Here For Yes         Click Here For No