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MAAP Building Communities through Building Partnerships Registration
1.
First Name:
2.
Last Name:
3.
Phone Number:
4.
Email Address:
5.
Company Name:
6.
Job Title:
7.
Licensure and/or Certification(s):
Peer Support Specialist
CAC I
CAC II
Master Addiction Counselor (MAC)
Substance Abuse Professional (SAP)
Licensed Professional Counselor (LPC)
Licensed Social Worker (LCSW)
Licensed Marriage and Family Therapist (LMFT)
Psychologist
Psychiatrist (M.D.)
Other (please specify)
8.
District or State of Residency/Employment
Washington, DC
Virginia
Maryland
Other
Other (please specify)
9.
How did you learn about this event?
Email Invitation
Flyer
MAAP Website
NAADAC Website
Other (please specify)
Location: Tuerk House / 730 Ashburton St. / Baltimore, MD 21216