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1 BEFORE THE ARIZONA STA re BOARD OF BEHAVIORAL HEALTH EXAMINERS 2 3 In the Matter of: Case No.: No. 2008 '()087 4 JULIE MARSH Licensed Professional Counselor, LPC10288, In the State of Arizona. RELEASE

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How to fill out azbbhe:

1. Start by gathering all the necessary information and documents required for filling out azbbhe. This may include personal identification, contact details, educational background, work experience, and relevant certifications.
2. Carefully read and understand the instructions provided on the azbbhe form. Make sure to follow any specific requirements mentioned, such as using black ink or providing additional attachments.
3. Begin filling out the azbbhe form by entering your personal information accurately. This typically includes your full name, date of birth, social security number, and current address.
4. Provide details about your educational background, such as the institutions you have attended, degrees earned, and dates of graduation. It is important to provide accurate and complete information in this section.
5. Next, fill out the section regarding your work experience. Include the names of your previous employers, job titles, dates of employment, and a brief description of your responsibilities.
6. If applicable, provide information about any professional certifications or licenses you hold that are relevant to the azbbhe form. Include details such as the issuing body, certification number, and expiration dates.
7. Review all the information you have entered on the azbbhe form to ensure accuracy and completeness. Double-check for any errors or missing information.
8. If required, sign and date the form, and attach any additional documents or supporting materials as directed.

Who needs azbbhe?

1. Individuals seeking professional licensure or certification in a field governed by the Arizona Board of Behavioral Health Examiners (azbbhe) may need to fill out this form. This could include psychologists, counselors, therapists, or other mental health professionals.
2. Students or graduates of behavioral health programs seeking to obtain licensure or certification in Arizona may also need to fill out the azbbhe form.
3. Employers or organizations involved in the hiring or supervision of behavioral health professionals may require applicants or employees to complete the azbbhe form as part of their credentialing process.
4. Individuals who are already licensed or certified by the azbbhe may need to periodically renew their credentials by filling out this form.
5. Other entities, such as insurance companies or government agencies, may request individuals to fill out the azbbhe form as part of their evaluation or verification processes.

Overall, anyone who is involved in the field of behavioral health in Arizona and requires licensure or certification may need to fill out the azbbhe form. It is important to consult the specific requirements and guidelines provided by the azbbhe to determine if this form is necessary for your situation.

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