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New Mexico Regulation and Licensing Department BOARDS AND COMMISSIONS D I V IS I O N Counseling and Therapy Practice Board PO Box 25101 Santa Fe, New Mexico 87505 (505) 4764610 Fax (505) 4764645 www.rld.state.nm.usAPPLICATION
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Boards and Commissions D is a form used to report information about boards and commissions that an individual serves on.
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Information such as the name of the board/commission, the individual's role, and any financial interests must be reported on Boards and Commissions D.
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