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Get CA BBS 37A-643 2018

74-7830 www.bbs.ca.gov RESPONSIBILITY STATEMENT FOR SUPERVISORS OF AN ASSOCIATE PROFESSIONAL CLINICAL COUNSELOR Title 16, California Code of Regulations (16 CCR) section 1821 requires any qualified licensed mental health professional who assumes responsibility for providing supervision to those working toward licensure as a Licensed Professional Clinical Counselor (LPCC) to complete and sign, under penalty of perjury, the following statement prior to the commencement of any counseling or superv.

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