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Get CA CAADE CATC Certification Renewal Application 2019-2024

MM/DD/YYYY): Last 4 of SSN: Have you ever applied to the Addiction Counselor Certification Board of California (ACCBC) under another name? Yes No If yes, please state previous name used: Yes No If yes, name of certifying organization: Yes No If yes, name of certifying organization: Have you ever held registration or certification with any Alcohol and Other Drug (AOD) certifying organization? Have you ever had your AOD registration or certification suspended or.

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