LGADC Licensed Graduate Alcohol and Drug Counselor

LGADC

Licensed Graduate 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 LGADC Application
Include a payment receipt with your application.
LGADC Application Fee: $200. PAY HERE: https://mdbnc.health.maryland.gov/pct_pay/Pay_Fee_1.aspx
Fees are non-refundable and non-transferable.

Name*

Email*

Phone*

Phone

LGADC Application Packet Checklist

Download and Complete the LGADC Application

LGADC Application Fee: $200

PAY HERE: https://mdbnc.health.maryland.gov/pct_pay/Pay_Fee_1.aspx

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

Completed Application, Signed & Notarized
LGADC Application Fee Payment Receipt
2 x 2 Photograph (Passport sized)
Official Transcript
Master of Addiction Counselor Board Exam (MAC)
Copy of MLA Certificate of Completion
Criminal History background Check

File Upload*

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

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