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CONVERSION APPLICATION CHEMICAL DEPENDENCY COUNSELORS This application must be returned to the Ohio Chemical Dependency Professionals Board. It will not be considered complete unless accompanied by
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What is conversion application chemical dependency?
The conversion application for chemical dependency is a form used to convert chemical dependency treatment provider services from one credentialing entity to another.
Who is required to file conversion application chemical dependency?
Any chemical dependency treatment provider who wishes to transition their services from one credentialing entity to another is required to file the conversion application for chemical dependency.
How to fill out conversion application chemical dependency?
The conversion application for chemical dependency can typically be filled out online or in paper form. It requires detailed information about the provider's current credentials, the new credentialing entity, and the services being transitioned.
What is the purpose of conversion application chemical dependency?
The purpose of the conversion application for chemical dependency is to facilitate the transfer of services between credentialing entities while ensuring continuity of care for clients.
What information must be reported on conversion application chemical dependency?
The conversion application for chemical dependency typically requires information such as the provider's current credentials, the new credentialing entity, the effective date of the transition, and a description of the services being transferred.
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