You will receive communication on how to change/select sessions leading up to the event. What is the age you need to be in order to attend/register for the IDEA World? "Ancient Aliens Live Tour. Make a copy for your records and send a copy to your certification agency. Space is limited for this exclusive group; dont miss your chance and get your application in today! Did you know we have a stage the size of Coachella's main stage? Grapevine, Texas, United States Fan Expo New Orleans 2023. List of Alpha Phi Alpha National Conventions - Wikipedia Alpha Phi Alpha Fraternity, Inc. - The Southern Region - Alpha Phi Breakfast Come Celebrate Women! Regional Conventions - Alpha Phi Alpha March 30-April 2, 2023, Convention Date & Location Attendees should print the handouts they need. Alpha Phi Alpha: The Alpha Chapter - Cornell University All you need to do is follow the few steps below: For those who have already registered and need to go back into the Alpha MX and adjust your registration, please follow the following steps: Note: The full registration does NOT include the Life Member Breakfast. Powered by, Choose EVENTS in the above row of choices, SCROLL down to the 98th Annual 2023 Southern Region Convention, Click on the green button Review My Registration next to the event, Click on the Edit button next to your name. Mar 4 | AlienCon 2023: Convention Center, Pasadena | Los Angeles, CA Patch The Countdown to the 97th General Convention! 2023 USA Convention Schedule | FanCons.ca What are the Attendee Registration hours for questions/assistance? 1:00 pm 2:30 pm Fraternal Luncheon ROOM RATE: $150 (+tax: 13.875%) -Reservation cut-off date: December 2nd, 2022. Alpha Phi Alpha Fraternity, Inc. 97th General Convention Anatole Hilton Saturday, July 26, 2023 10 a.m. - 11:45 a.m. Once on-site, you will want to make sure you have your registration confirmation, picture ID, a printed copy of session handouts, water (bring a bottle and refill it at the water stations), snacks, a sweatshirt (sometimes the rooms get a little cool, especially after some exercise), a yoga mat (for mind/body sessions), a notepad and a pen or pencil and business cards for networking. If youre reading this you must already know the reputation IDEA has for hosting the most energetic, thought-provoking and cutting-edge events in the industry. We are in the process of getting approvals from each of the agencies above and will post the credits as soon as they are available. In 1896, the Fraternity moved to hosting biennial Conventions. Learn more today at http://bit.ly/NPHCJoinAllofUs, Alpha Phi Alpha Fraternity, Inc. congratulates Brother Colonel Paris D. Davis who was awarded the Congressional Medal of Honor - the highest accolade for a member of the US Armed Services - by President Biden on today. Interested in partnering with us to promote health, education, economic empowerment or maintain the environment? Hampton, VA, International (Bermuda, Germany, Liberia, South Africa, United Kingdom), New England (Connecticut, Massachusetts, New Hampshire, Rhode Island and Vermont), New York, New Jersey, Pennsylvania, Washington DC, Maryland, Delaware, Virginia, Convention Date & Location 11:00 am 12:00 pm Fourth Business Session Don't attend simply to explore the latest innovations come to grow as a person. IDEA World Club & Studio Summit will not be a standalone event in 2023. Convention 2022 - Alpha Phi IDEA is committed to the health & safety of the community Along with following CDC and state guidelines, the measures below will be in place to help ensure your safety. Alpha Phi Facebook; Alpha Phi Instagram; Alpha Phi Twitter; Alpha Phi LinkedIn; Alpha Phi Pinterest; Alpha Phi Tumblr; Alpha Phi YouTube; Alpha Phi Blogger Alpha Phi Alpha Fraternity, Inc., Alpha Gamma Lambda Chapter Post Office Box 303 New York, NY 10027 917-310-5426 Welcome History Brotherhood Upcoming Events Scholars AGL Scholars Application Instagram Gallery Spotlight Contact Us! Club & Studio sessions will be a track on the IDEA World Convention program that is open to all paid attendees. (Please check with your specific certification agency for their renewal criteria). Gaylord National Resort Hotel and Convention Center. Convention - Alpha Phi Alpha Fraternity, Inc. - The Southern Region Registration closes on February 15, 2023 at 11:59PM. Scholarship Breakfast, Male Mentoring Program (Project Alpha Leadership Club), https://www.sos.ms.gov/elections-voting/polling-place-locator, https://www.msegov.com/sos/voter_registration/amiregistered/Search, Southern Regional Conference Registration. Greetings and God Speed from the Mighty House of Alpha my dear brothers and friends of Alpha Phi Alpha Fraternity, Inc. . It is through these efforts that we are dedicated to ensuring we are focused on our membership and personal development, leadership and organizational development, and our wealth and business development. We are the third oldest Alumni Chapter of Alpha Phi Alpha Fraternity, Incorporated, chartered in Detroit, Michigan on March 22, 1919. . Please practice responsible gathering techniques by taking your temperature prior to arrival and home testing if youre feeling symptomatic. 2021 at the 96th General Convention in Indianapolis, Indiana. The proceeds fromthegolf tournament will help us provide college scholarships, educational activities, and community service in DFW Metroplex. Test 2 alpha hist Flashcards | Quizlet 8:00 am 5:00 pm Candidates Tables Weve made it easier to switch names on event registrations at no charge. 09:00 am 2:00 pm Graduate School and Career Resource Fair Please make plans to register before February 15th in order to avoid last minute system overload. Member Portal Home - Alpha Phi Alpha Twentieth Printing 2008 (includes data through 2007), Appendix IV ^ a b c d e "The Crisis". GPS-enabled Golf Cart You only need to put in your home address and it will show your polling location and a map from your home to the polling location. Greetings and God Speed from the Mighty House of Alpha my dear brothers and friends of Alpha Phi Alpha Fraternity, Inc. East Peoria, IL, USA. There will not be a live virtual offering for this event. 3717355 Whether you are a personal trainer who inspires clients to move more effectively, a group fitness instructor encouraging students to move with joy or a coach guiding others to move toward healthier choices, your success relies on three elements: KNOWLEDGE, INSPIRATION AND COMMUNITY. Since there has been some redistricting changes this year for Vicksburg and Warren County, you may want to reconfirm the location of your polling place. First of All: Leading the Way, The host hotel and select educational sessions are at the JW Marriott at L.A. Live. 8:00 am 5:00 pm Committee Meetings Calendar of Events - Alpha Phi Alpha No, because of safety concerns we cannot allow any other type of equipment (wearable, portable) other than the equipment that IDEA has provided in the conference session(s). JULY 26 - 30, 2023 | DALLAS, TX. Announces New Partnership with Black Tech-Based Cancer Charity, Ora Lee Smith Cancer Research Foundation, The Alpha Phi Alpha Fraternity, Inc. Partners with Indiana Universitys Kelley School of Business, to prepare them for the greatest usefulness in the causes of humanity, freedom, and dignity of the individual, to encourage the highest and noblest form of manhood, to aid downtrodden humanity in its efforts to achieve higher social, economic and intellectual status. That way youll know exactly how many credits the sessions you are interested in attending are approved for. Contact Inspired Service for further assistance at 858-535-8979, ext. Welcome you to the 97th General Convention of Alpha Phi Alpha Fraternity, Inc. Cancellations on or before June 12, 2023 will be refunded in full (less a $100 processing fee). Attend The 2023 NAMM Show Here is the hotel reservation link, also you can call 888-236-2427 to register: Book your group rate for Alpha Phi Alpha Southwestern Regional Convention. Bro. "AlienCon is an exploration into the unexplained mysteries that exist between science fact and science fiction. Yes, but one of the many benefits of being an IDEAfit+ member is discounted pricing on events. Register today, and we'll see you in Southern California. Home - Alpha Phi Alpha The Countdown to the 97th General Convention! There will be no on-site registration. "Our next event will be March 4-5, 2023, in Pasadena, California at the Pasadena Convention Center. This collaborative project is designed to provide education, motivation and skill-building on issues of responsibility, relationships, teen pregnancy and sexually transmitted diseases for young males ages 12-15 years. Leadership Conference Registration - Alpha Phi Unfortunately, other than your hotel room, there are no shower facilities available to attendees in the hotel or convention center. Brother Tamir D. Harper, 61st Eastern Regional Assistant Vice President. Garden State Comic Fest: Winter Fest 2023, Savannah Animazing & Video Game Expo 2023, Jersey Shore Comic Book "Cabin Fever" Show 2023, Happy Valley Comic & Collectible Convention 2023, New England Toy and Record Super Show 2023, Cleveland Comic Book & Nostalgia Show 2023, Delaware Train & April Fools Toy Show 2023, Trading Card Game Con - Indianapolis 2023, Lucifer The TV Series Official Convention 2023, Canton-Akron Comic Book, Toy & Nostalgia Convention 2023, Kids Con New England (New Hampshire) 2023, Small Press & Alternative Comics Expo 2023, Imperial Valley Entertainment Convention 2023, Long Beach Convention & Entertainment Center, Gaylord National Resort Hotel and Convention Center, Embassy Suites by Hilton East Peoria Riverfront Hotel & Conference Center, DoubleTree by Hilton Hotel Chattanooga Downtown, Embassy Suites by Hilton Fort Lauderdale 17th Street, Greater Columbus Convention Center / Hyatt Regency Columbus, Hilton Minneapolis St. Paul Airport Mall of America, Embassy Suites by Hilton Colorado Springs, Central Wisconsin Convention and Expo Center, Wyndham Orlando Resort International Drive, Holiday Inn Knoxville West- Cedar Bluff Rd, Wisconsin Center / Hilton Milwaukee City Center, Crowne Plaza Providence-Warwick (Airport), Charlotte Harbor Event and Conference Center, DoubleTree by Hilton Hotel Cedar Rapids Convention Complex, Holiday Inn St. Louis - Downtown Conv Ctr, Illinois College, Bruner Fitness and Recreation Center, Crowne Plaza Fort Myers at Bell Tower Shops, Gaylord National Resort & Convention Center, Embassy Suites by Hilton Charlotte Concord Golf Resort & Spa, University of California San Diego, Price Center, Frank W. Mayborn Civic & Convention Center, DoubleTree by Hilton Hotel Charlottesville, Best Western Royal Plaza Hotel and Trade Center, Macomb Community College Sports And Expo Center, Embassy Suites by Hilton Raleigh Durham Research Triangle, Royal Caribbean's Independence of the Seas, The Stone Family Center for Performing Arts, Dripping Springs Ranch Park and Event Center, Embassy Suites by Hilton Lexington/UK Coldstream, Holiday Inn Philadelphia South-Swedesboro, Texas A&M University Memorial Student Center, University of Toledo, Lancelot Thompson Student Union, Mississippi Coast Coliseum and Convention Center, Embassy Suites by Hilton Los Angeles International Airport South, Various Locations starting at Meehan's Irish Pub, Marriott Dallas Allen Hotel & Convention Center, Courtyard by Marriott Columbus West/Hilliard, Clarion Hotel Philadelphia International Airport, Hyatt Regency Crystal City At Reagan National Airport, University of Maryland - Baltimore County, The Commons, DoubleTree by Hilton Hotel Cleveland - Westlake, Monona Terrace Community and Convention Center, The Prime F. Osborn III Convention Center, University of Rochester, Frederick Douglass Commons, Avanti Palms Resort and Conference Center, Kay Bailey Hutchison Convention Center Dallas, SAFE Credit Union Convention Center, Hall D, Marshall University, Memorial Student Center, Huntington Convention Center of Cleveland, Ann Arbor Marriott Ypsilanti at Eagle Crest, J. Wayne Reitz Union at University of Florida, Bowling Green State University, Bowen-Thompson Student Union, Fredericksburg Expo and Conference Center, Delta Hotels by Marriott Denver Northglenn, McDonogh 35 College Preparatory High School, La Doa Cervecera / Royal Foundry Craft Spirits, East Tennessee State University, Culp Center, Delta Hotels by Marriott Baltimore Hunt Valley, DoubleTree by Hilton Hotel Seattle Airport, Sheraton Music City Hotel / Embassy Suites Nashville Airport, Northern Illinois University, Holmes Student Center, Holiday Inn Tampa Westshore - Airport Area, El Paso Convention And Performing Art Center, Crowne Plaza Atlanta Perimeter at Ravinia, Greensboro Coliseum- Special Events Center, Red River Valley Fairgrounds, Butler Building, Pasadena Convention Center and Municipal Fairgrounds, Southern Illinois University Student Center, DoubleTree by Hilton Hotel Libertyville - Mundelein, University at Buffalo North Campus, Student Union, Appalachian State University, Plemmons Student Union, Carlisle Inn & Conference Center Sarasota, New Jersey Convention and Exposition Center, The Conference Center at Central Penn College, Donald E. Stephens Convention Center / Hyatt Regency O'Hare, DoubleTree by Hilton Hotel at the Entrance to Universal Orlando, New Port Richey Recreation & Aquatic Center, Crown Plaza Crowne Plaza Columbus North - Worthington, Overland Park Convention Center / Sheraton Overland Park Hotel at the Convention Center, Irving Convention Center at Las Colinas / Toyota Music Factory, Crowne Plaza Springfield - Convention Ctr, Holiday Inn & Suites Cincinnati-Eastgate (I-275e), Lubbock Memorial Civic Center Banquet Room, Embassy Suites by Hilton Norman Hotel & Conference Center, Holiday Inn Harrisburg (Hershey Area) I-81, Connecticut Convention Center / Hartford Marriott Downtown, Hyatt Regency Coralville Hotel & Conference Center, Renaissance Atlanta Waverly Hotel & Convention Center, Columbus Georgia Convention & Trade Center, Harry M. Cornell Arts & Entertainment Complex, Hyatt Regency Bellevue On Seattle's Eastside, Hyatt Regency Columbus / Greater Columbus Convention Center, Hyatt Regency O'Hare Chicago / Donald E. Stephens Convention Center, DoubleTree by Hilton Hotel Baltimore North - Pikesville, DoubleTree Suites by Hilton Hotel Philadelphia West, Galveston Island Convention Center at The San Luis Resort, Destin-Fort Walton Beach Convention Center, Expo Center at the South Florida Fairgrounds, Atlanta Marriott Marquis, Hyatt Regency Atlanta, Atlanta Hilton, Sheraton Atlanta, Westin Peachtree, Gaylord Rockies Resort & Convention Center, Whispering Woods Hotel and Conference Center, Hilton Washington DC/Rockville Hotel & Executive Meeting Center, Baltimore Marriott Inner Harbor at Camden Yards, Dr. Martin Luther King Jr. Sports Pavilion, Embassy Suites by Hilton Columbia Greystone, Renaissance Atlanta Waverly Hotel & Convention Center / Cobb Galleria Centre, Chula Vista Resort - Wisconsin Dells Waterpark Resort, Scientology Community Center of Silicon Valley, Huntington Place / Detroit Marriott at the Renaissance Center, DoubleTree by Hilton Hotel Tucson - Reid Park, Rhode Island Convention Center / Amica Mutual Pavilion, Fort Lauderdale Marriott Coral Springs Hotel & Convention Center, Wyndham Lancaster Resort and Convention Center, Embassy Suites by Hilton Charleston Airport Hotel & Convention Center. This years convention theme, "Writing Alphas Next Chapter", is intended to serve as a clear reminder to every brother that while the history of our beloved fraternity is rich in purpose and esteemed membership, our legacy continues to be written through each of our daily actions. 7; Outside the U.S. and Canada: 858-535-8979, ext. Will handouts be available for event sessions? 2023 California Anime Convention Schedule | AnimeCons.com Early Publications and Documents, 1910-1956. Autograph and photograph sessions for AlienCon2023 Pasadena are now available. The official Twitter of Alpha Phi Alpha Fraternity, Inc. founded on December 4th, 1906 at Cornell University in Ithaca, NY. Alpha Phi Alpha." . This beginning is called: Alpha Phi Alpha.. We are honored to offer our "50-year" Brothers . Where was the first General Convention of Alpha Phi Alpha held? Your Western Region Leadership Team is pleased to issue this limited availability early-bird call to the 2023 74th Western Region Convention of Alpha Phi Alpha Fraternity, Inc., The convention will be held in Aurora, Colorado at the Hyatt Regency Aurora-Denver Conference Center. Alpha Phi Convention. Open credits issued will expire on December 31 of the following calendar year. And that's why so many industry leaders have come to the show for decades it's where the future is brought into focus. Program Design, Functional Training, Strength, Metabolic Training, Balance, Core, Anatomy, Assessment, Biomechanics, Corrective Exercise, Mobility, Research, Specific Populations, Small and Large Group, Partner Training, Boot Camp, Circuits, Nutrition Research, Weight Management, Metabolism, Behavior Change, Health Coaching, Marketing, Revenue, Technology, Online Coaching and Training, Social Media, Program/Club Management, Personal Growth, Choreography, Cardio, HIIT, Dance, Group Strength, Martial Arts/Kickboxing, Step, Specific Populations, Teaching Techniques, Indoor Cycling, Indoor Rowing, Suspension Training, Pilates, Wellness, Meditation, Yoga, Barre. Which certification agencies offer CECs for this event? 92nd Southern Regional Convention, 98th Anniversary of the Southern Region, 97th General Convention, 117th Anniversary Convention, July 26-30, 2023, Dallas, TX, Dr. Martin Luther King, Jr. Please share. This documentation may be required as a condition of permitting ESAs to accompany attendees. Alpha Phi Alpha Fraternity, Inc. International Headquarters 2313 St. Paul Street Baltimore, MD 21218 How do I get CECs for the sessions I attend? This historic convention will be held April 7 10, 2022, in Atlantic City, NJ. Your participation helps fund music education and advocacy all year round. Convention - Alpha Phi Socially, the Brothers of South Jersey are excited to host us. Greetings Brothers of the Eastern Region, In accordance with Article III, Section 2.3 of the Alpha Phi Alpha Fraternity Constitution, the leadership of the Eastern Region is pleased to present the official Convention Call for the 88th Anniversary Eastern Region Convention of Alpha Phi Alpha Fraternity, Incorporated to be held April 2nd - April 5th, 2020, in the country of Bermuda. 9:00 am 11:00 am Alpha Training & Development Julia Hard If you cant make it, you may send a colleague in your place by contacting Inspired Service at least 7 days prior to the event (switches are subject to a fee increase based on member status). Alpha Phi Alpha National Golf Tournment 7:00 pm 8:00 pm College Brothers Caucus 10:00 am 11:00 am First Business Session With thousands of brands from all around the world, you're sure to discover something new and revolutionary. 2:00 pm 3:00 pm Fifth Business Session Connect with the latest products, services and technologies in the industry. If you are a Club & Studio owner or manager interested in attending, please register as an IDEA World attendee, and select the sessions within the Club & Studio track. Please make plans to register before February 15th in order to avoid last minute system overload. Alpha Phi Alpha Fraternity Inc. deliberately meets the needs of our community through active and impactful engagement. 1 / 74. 9:00 am 11:00 am Awards Brunch, 2023 College Brothers Empowerment Retreat, Alpha Phi Alpha Fraternity, Inc., The Southern Region. No CEC-able education is associated with them. Your proof of attendance and CEC credits are on your CEC certificate, which you can access any time after the conference atwww.ideafit.com/myeducation. #APA1906Network #MenofDistinction #USArmy. Anime-Zap! Any and all suites needed during the convention for the hosting of brothers and gatherings will need to be purchased directly with the hotel. Alpha 2023 National Convention in Dallas, TX! http://www.cowboysgolfclub.com/, Created with Golf Tournament Software: Get a Press Pass Home - Alpha Phi Alpha 2023 General Convention Golf Tournament Generally, youll receive one CEC per contact hour for workshops and lectures. The 2023 NAMM Show. Theme: Focused on the Future: Investing in our Community, Health, Wealth and Self. Cancellations received after June 12, 2023 will be issued an open credit, in the full amount of your purchase that can be used toward a future IDEA event. Become an Exhibitor Thats enough credits for your certification renewal! 10:00 am 3:00 pm Heart of Gold Blood Drive Click the card to flip . Fri Mar 17 2023, 06:00pm EDT. In accordance with Article III, Section 2.3 of the Alpha Phi Alpha Fraternity, Incorporated Constitution, the leadership of the Eastern Region is pleased to present the official Convention Call for the 90th Anniversary Eastern Region Convention of Alpha Phi Alpha Fraternity, Incorporated. . There will be no on-site registration. In response to attendee requests and to preserve the educational atmosphere of the event, children under the age of 18 are not allowed in sessions, even to observe. January 24-27 at the Anaheim Convention Center in Anaheim, CA. January 6-8, 2023. Brothers, let's. Burton Manor. If you would like to purchase a ticket, you can click on the checkbox next to the event/session. It is through these efforts that we are dedicated to ensuring we are focused on our membership and personal development, leadership and organizational development, and our wealth and business development. Pasadena Convention Center,300 E. Green St.,Pasadena, CA. Join us as June 22-26, 2022 as we elect our new International Executive Board, recognize our many achievements from the biennium and celebrate 150 years of Alpha Phi. JULY 26 - 30, 2023 | DALLAS, TX REGISTRATION IS OFFICIALLY OPEN! Speakers: New York Governor, Theme: Communication - Excellence: Key to Equality, Greater New York, New Jersey and Connecticut chapters, Theme: "ALPHAS IN GOVERNMENT: Planning for the Future of Our Children" Speaker: UN Ambassador. Session handouts will not be available at the event. March 22-26, 2023, Northern California, Southern California (Korea, Hawaii), Rocky Mountain (Colorado/Utah, Wyoming, Idaho, Montana), Arizona, Nevada, New Mexico, Great Northwest (Oregon, Washington, Alaska), Tel: 410.554.0040Fax: 410.554.0054Email: support@apa1906.net, Monday - Friday8:30 a.m. to 5:00 p.m. (EST)Saturday - SundayClosed. Rockin' it Live at OTBC! Convention Date & Location Our national programs and initiatives offer tangible examples of Love for all Mankind. +1 (817) 481-7277 8:00 pm 10:00 pm Step Show, 7:30 am 9:00 am Life Membership Breakfast/Book Signing 97th General Convention | 116th Anniversary Convention Welcome video Welcome you to the 97th General Convention of Alpha Phi Alpha Fraternity, Inc. Were BACK! Brother Christopher G. Ellis, 29th Eastern Regional Vice President, Brother Tamir D. Harper, 61st Eastern Regional Assistant Vice President. 8:00 pm 10:00 pm Ms. Old Gold & Black Pageant, 8:00 am 9:00 am Necrology Service @_zaynlm, Move medicine forward and help those who cannot advocate for themselves. Being a Support Squad member is a fantastic opportunity to be involved behind the scenes, make life-long friends and Inspire the World to Fitness! Please share. Alpha Phi Alpha, the first intercollegiate Greek-letter fraternity established for African American Men, was founded on December 4, 1906 at Cornell University in Ithaca, New York by seven college men who recognized the need for a strong bond of brotherhood among African descendants in this country. Love to Party for GoodGood for You + Community Too! If you decide to change sessions on-site, session handouts can be found in the event app. You need to be at least 18 years old in order to attend IDEA World. Workouts do not qualify for CECs. Keeping the community free of COVID is a shared responsibility; please do your part. Can people bring in their own equipment to use/demonstrate in sessions when working out? 1 / 74. From panels and programming, an out-of-this-world marketplace, and more, AlienCon will be a weekend you won't want to miss! Be recognized live in front of thousands of industry leaders and fitness professionals during the IDEA World Opening Ceremonies. International Attendees Embassy Suites by Hilton East Peoria Riverfront Hotel & Conference Center. The various early bird registrations begin December 4, 2022, and will run through January 4, 2023, followed by regular registration options. golf@houseofalpha.com. IDEA Health & Fitness Association is not responsible for any loss or damage as a result of a substitution, alteration or cancellation/postponement of an event. If a Mississippian would like to check to see if they are registered to vote, they can visit https://www.msegov.com/sos/voter_registration/amiregistered/Search. Theme: Saluting the Past Securing the Future (The Agenda for the '80s). Fitness Awards Application 96th General Convention Alpha Phi Alpha Fraternity, Inc., Alpha Gamma Lambda Chapter Brothers Only! Will there be an IDEA World Club & Studio Summit, Will there be an IDEA World Nutrition & Behavior Change Summit. Home - Alpha Phi Alpha After registration closes, there will be absolutely no further opportunities to register. This includes a 1-year IDEAfit+ membership and registration to 2023 IDEA World for less than the price of signing up as a non-IDEAfit+ member. June 28-30 at Music City Center in Nashville, TN. 5:00 pm 6:00 pm General President Candidates Forum IDEA will require current documentation (not more than one year old) on letterhead from a licensed mental health professional stating (1) the attendee has a mental health-related disability listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM IV); (2) having the animal accompany the attendee is necessary to the attendees mental health or treatment; (3) the individual providing the assessment of the attendee is a licensed mental health professional and the attendee is under his/her professional care; and (4) the date and type of the mental health professionals license and the state or other jurisdiction in which it was issued.

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