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Dhmh. maryland. gov/bopc REQUEST FOR VERIFICATION OF LICENSURE/CERTIFICATION LGPAT LCPAT LGPC LCPC Alcohol Drug MFT LBA To request a written verification Letter of Good Standing of your Maryland license complete this form and return it to the mailing address above with your NON-REFUNDABLE VERIFICATION FEE 20. 00 CHECK OR MONEY ORDER payable to Maryland Board of Professional Counselors and Therapists. VERIFICATIONS WILL BE PROCESSED ONCE THE VERIFICATION FEE IS RECEIVED. DEPARTMENT OF HEALTH...
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