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Christy Shea, MA, MFT 1008 Fifth Street Santa Rosa, CA. 95404Client Intake Form (Children and Adolescents) Last Name Middle Initial First Name Date of Birth Age Grade Gender (M/F) Email (parents)Primary
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To fill out the Christy Shea MA MFT form, follow these steps:
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Start by entering your personal information such as name, address, and contact details.
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Provide your educational background, including the degrees you have obtained and the institutions you attended.
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Indicate your professional experience in the field of marriage and family therapy. Include details about the organizations you have worked for and your specific job responsibilities.
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Christy Shea MA MFT stands for Christy Shea, who holds a Master of Arts in Marriage and Family Therapy.
Individuals in the field of Marriage and Family Therapy who hold a Master's degree may file christy shea ma mft.
To fill out Christy Shea MA MFT, individuals must accurately report their personal and professional information as required by the licensing board.
The purpose of Christy Shea MA MFT is to ensure that licensed professionals in Marriage and Family Therapy comply with reporting requirements.
Information such as name, contact details, educational background, and professional experience must be reported on Christy Shea MA MFT.
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