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Erin Garcia, LPC, LUCAS, PLLCADULT INTAKE FORMTodays date: / / Client Information Your Name: Date of Birth: / / Address: City Home Phone: Work: Cell: Social Security Number: Age: Gender: Male FemaleMarital
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erin garcia lpc lcas refers to the license held by Erin Garcia that allows them to practice as a Licensed Professional Counselor (LPC) and Licensed Clinical Addictions Specialist (LCAS).
Erin Garcia or any other individual holding the same credentials is required to file their erin garcia lpc lcas.
To fill out erin garcia lpc lcas, you must provide all the required information about your professional practice, qualifications, and any relevant experience in the field of counseling and addiction therapy.
The purpose of erin garcia lpc lcas is to document and verify the credentials and qualifications of individuals practicing as Licensed Professional Counselors and Licensed Clinical Addictions Specialists.
Information such as professional qualifications, experience, contact details, and any accreditations or certifications must be reported on erin garcia lpc lcas.
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