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Name*

This name will appear on your certificate. No personal credentials will appear on certificates.

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Email (NOTE: This will be your Username)*

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Password*

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Address*

Street Address City State / Province / Region ZIP / Postal Code

Phone*

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Organization*

Job Title*

Primary Field:*

Prevention

Treatment

Other

Primary License*

Licensed Alcohol & Drug Counselor (LADC/CADC/LCADC)

Social Work

Marriage and Family Therapist (MFT)/Clinical Professional Counselors (CPC)

Intern

Peer Recovery Support Specialist

Other

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Social Media

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What state do you currently work in?*

Would you like to be added to our ListServ to learn about new courses?

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Administered by CASAT, a Center within the School of Public Health at the University of Nevada, Reno.