CSC-AD


Certified Supervised Counselor-

Alcohol and Drug

APPLICATION INSTRUCTIONS


All forms must be legible, complete, signed, and dated (where applicable) or processing may be delayed.

Download and Complete the CSC-AD Application

Include a payment receipt with your application.

CSC-AD Application Fee: $150

PAY HERE: https://mdbnc.health.maryland.gov/pct_pay/Pay_Fee_34.aspx

Fees are non-refundable and non-transferable.

CSC-AD - Application Packet Checklist

The following are the application requirements. All forms must be legible, complete, signed, and dated (where applicable) or processing may be delayed.


Please upload your Completed Application, Payment Receipt and Supporting Document Here.

Drag and drop files here or