Pre-Application for Alcohol and Drug CounselorCertificate & License

Pre-Application for Alcohol and Drug Counselor

Certificate & License

Credential Evaluation – Alcohol and Drug Counselor

APPLICATION INSTRUCTIONS

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

Download and Complete the PRE APP Application:

Full Name*

Email Address*

Phone Number*

Phone

PRE APP: Alcohol and Drug Counselor Application Packet Checklist

Download and Complete the PRE APP Application:

PRE-APP Application Fee: $50

PAY HERE: https://mdbnc.health.maryland.gov/pct_pay/Pay_Fee_12.aspx

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

Completed and signed PRE APP Application.
Copy of Payment Receipt
Supporting Required Documents

File Upload*

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

Drag and drop files here or

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