NAMI Peer-to-Peer CEU Request (course# 20-1104830) NAMI Peer-to-Peer CEU Request (course# 20-1104830) "*" indicates required fields NAMI Basics Education Program* • Winter 2023-2024 - Tuesdays, Jan 2, 2024, thru Feb 20, 2024, from 6 to 8 p.m. • Spring 2024 - Tuesdays, April 2, 2024, thru May 21, 2024, from 6 to 8 p.m. • Summer 2024 - Tuesdays, June 18, 2024, thru Aug 6, 2024, from 6 to 8 p.m. • Fall 2024 – Tuesdays, Sept 10, 2024, thru Oct 29, 2024, from 6 to 8pm. • Winter 2025 - Tuesdays, Jan 7, 2025, thru Feb 25, 2025, from 6 to 8 p.m. First Name*Last Name*ADDRESS* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Ohio Chemical Dependency Professionals Board* • Chemical Dependency Counselor Assistant - C7-Relapse and Recovery Strategies • Licensed Chemical Dependency Counselor II – C7-Relapse and Recovery Strategies • Licensed Chemical Dependency Counselor III - C7-Relapse and Recovery Strategies • Licensed Independent Chemical Dependency Counselor - C7-Relapse and Recovery Strategies • N/A LICENSE NUMBER (if any)CAPTCHA