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1. Paving New Ground Webinar post-test and course evaluation

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Magellan Health Services will make reasonable accommodations for participants with physical, visual, or hearing impairments. Contact the CE administrator at 410-953-4959 or by email at cbquart@magellanhealth.com to arrange appropriate access accommodations.

Question Title

* 1. Please tell us about you.

Name: *

Degree/License/Certification Held:

License Number:

MIS Number (if applicable):

State/Province: *

Email Address: *

Question Title

* 2. What CE certification are you requesting? (Select all that apply.):

Association of Social Work Boards (ASWB)

The Association for Addiction Professionals (NAADAC)

Certificate of Attendance Only (No CE's)

Question Title

* 3. Your license certification (Select all that apply.):

Counselor

Marriage and Family Therapist

Nurse

Psychologists

Social Work

Other (please list)