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  • Wa Doh 670-064 2016

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Or each time frame worked. Applicant Name: Birth date (mm/dd/yyyy) Address: City: State: Zip Code: Phone (enter 10 digit #) Business phone (enter 10 digit #) Direct Supervisor The above applicant requires verification of supervised experience for certification as a chemical dependency professional. Please complete the following. Supervisor Name: Credential # Street Address City Phone (enter 10 digit #) State Zip Code Supervised Experience (WAC 246-811-045) From (mm/dd/yyyy): To (mm/dd/.

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Related content

Verification of Substance Use Disorder...
DOH 670-064 July 2019. Page 1 of 2 ... Olympia, WA 98504-7877. 360-236-4700 ... Note: Use...
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SUDP applicants are required to have an associate degree in human services or related field (such as Lake Washington Institute of Technology's AAS in Behavioral and Social Services) or successful completion of 90 quarter or 60 semester college credits in courses from an approved school.

A CDP is the individual with primary responsibility for implementing an individualized plan for Substance Use Disorder treatment services. Chemical Dependency Professional (CDP means a person certified as a chemical dependency professional by the Washington State Department of Health under Chapter 18.205 RCW.

SUDP applicants are required to have an associate degree in human services or related field (such as Lake Washington Institute of Technology's AAS in Behavioral and Social Services) or successful completion of 90 quarter or 60 semester college credits in courses from an approved school.

The State of Washington requires applicants for the Chemical Dependency Professional (CDP) credential to have at least an associate degree. Furthermore, an applicant for the CDP credential must also have at least 45 credits of coursework related explicitly to chemical dependency counseling.

The State of Washington requires applicants for the Chemical Dependency Professional (CDP) credential to have at least an associate degree. Furthermore, an applicant for the CDP credential must also have at least 45 credits of coursework related explicitly to chemical dependency counseling.

Applicants must have a minimum of 36 months of full-time counseling or 3,000 hours of postgraduate mental health counseling under the supervision of an approved licensed mental health counselor or equally qualified licensed mental health practitioner in an approved setting.

At least 100 hours must be in immediate supervision with an approved licensed mental health counselor or equally qualified licensed mental health practitioner. At least 1,200 hours must be direct counseling with individuals, couples, groups or families. Applicants' supervisors must complete the verification form.

Salaries by years of experience in Washington State Years of experiencePer hour1 to 2 years$21.813 to 5 years-6 to 9 years-More than 10 years$28.311 more row • 6 days ago

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
WA DOH 670-064
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