NAMI Basics Education Program CEU Request course# 20-951547 NAMI Basics Education Program CEU Request (course# 20-951547) "*" indicates required fields NAMI Basics Education Program* • Spring 2024 - Wednesdays, Mar 13, 2024, thru Apr 17, 2024, from 6:00pm to 8:30pm • Summer 2024 - Wednesdays, June 5, 2024, thru July 10, 2024, from 6:00pm to 8:30pm • Fall 2024 – Wednesdays, Sept 4, 2024, thru Oct 9, 2024, from 6:00pm to 8:30pm • Winter 2024 - Wednesdays, Oct 30, 2024, thru Dec 18, 2024, from 6:00pm to 8:30pm 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 Email* Phone*Ohio Chemical Dependency Professionals Board* • Chemical Dependency Counselor Assistant – C5-Family Dynamics • Licensed Chemical Dependency Counselor II – C5-Family Dynamics • Licensed Chemical Dependency Counselor III - C5-Family Dynamics • Licensed Independent Chemical Dependency Counselor - C5-Family Dynamics • N/A LICENSE NUMBER (if any)CAPTCHA