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- National Certified Counselor (NCC) license
- Certified Clinical Mental Health Counselor (CCMHC) license
- Master Addictions Counselor (MAC) license
- Forensic Health Evaluators (FHE) license
- Global Career Development Facilitator (GCDF) license
- Certified Family Therapist (CFT) license
- If the counselor believes the patient might harm him or herself, or someone else.
- If the counselor wants to get a second opinion on the patient's treatment. If this is the case, the counselor should seek the patient's written permission before consulting another professional.