piote8~~f~~~elor,~,:s~or g:aion sna{vleithcertificate of insurance (proof of coverage) date issued:...
TRANSCRIPT
Teas StateBoardofExatninem ofProfessiOOa1 Co~OtS
certifieS thatthepers6n identified below is a
~middotPiOte8~~f~~~elor~S~or Gltgtaion SnavLeith
Lic~ilSC Number lQ783- fmiddot ~-
Control Nurnber2lt)Gf36 Exp~cs 19312016
P1csiding Qlficer
Certificate of Insurance (Proof of Coverage) Date Issued 732014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Star Point Counseling Service PLLC Gordon Leith 245 Weathercock Lane San Antonio TX 78239
Additional insured locations are often requested by individual business owners who have more than one office Your coverage is portable meaning that you are covered at any location for practice under the
occupation(s) listed on your policy
Administered By CPH and Associates
711 S Dearborn Suite 205 Chicago IL 60605
P 312-987-9823 F 312-987-0902 infocphinscom Underwritten By
Philadelphia Indemnity Insurance Company
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSLTRED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
NA NA
$1 million $3 million
Unlimited Unlimited
$35000
Should any of the above described policy be cancelled before the expiration date thereof the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left but failure to do so shall impose no obligation
PROOF OF COVERAGE or liability of any kind upon the insurer its agents or representatives
Holder has also been added to the policy as an additional insured Authorized Representative _YesfXNo
lfthe certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s) ( fZJJfmiddot~
C Philip Hodson
DISCLAIMER The Certificate ofInsurance does not constitute a contract between the issuing insurer(s) authorized representative or producer and the certificate holder nor does it affirmatively or negatively amend extend or alter the coverage afforded by the policies listed thereon
I
ALLIED HEALTHCARE PROFESSIONAL AND SUPPLEMENTAL LIABILITY
INSURANCE POLICY DECLARATIONS
RENEWAL DECLARATIONS
ATTACH THIS RENEWAL DECLARATIONS TO YOUR EXPIRING POLICY
Policy Number PHCP074922 Philadelphia Indemnity Insurance Company
Administered by CPH amp Associates
711 S Dearborn St Ste205
Chicago IL 60605
Star Point Counseling Service PLLC
Gordon Leith
245 Weathercock Lane
San Antonio TX 78239
Affiliation NSP
Professional Occupation Counselor
Coverage Term From 061202014 To 062012015 at 1201 am Standard Time at the Insureds Mailing Address shown above
COVERAGE A - PROFESSIONAL LIABILITY LIMITS OF LIABILITY PREMIUM COVERAGE
Individual-Each Incident $NA $384
Aggregate $NA
Association Partnership or Corporation-Each Incident $1 million
Aggregate $3 million
COVERAGEB SUPPLEMENTAL LIABILITY
COVERAGE
Each Incident $1 million (Included)
Aggregate $3 million
STATE LICENSING BOARD INVESTIGATION DEFENSE
COVERAGE I $35000
COMMERCIAL GENERAL LIABILITY COVERAGE
Each Incident NIA
Aggregate NIA
PROPERTY COVERAGE
NA
Premium (including taxes) $ 38400
Policy Forms amp Endorsements PI-PHCP-02 (0710)
By
ampOmiddot0 Jamie Nla~QUUe
State Endorsement(s) made a part of this policy at the time of issue refer to wwwcphinscom
Call the Administrator to Verify Claims History at
H4AIMC-_shyTHE NAAPAC middotCERTIFICATION COMMISSION
hereby attests that
middotGmiddotORDON S IJEITH
~met all ofth~Do~req~ments
fOfpraciceas aS~bstance~use Profess~~l
-and ~Y~~thC~~l~ ~f ~ ~ ~
~ SAP
Certification Number 13791
Course Date ~1~ ()6151Z00sect Good for 3JearampfronishyDate Awarded 1)lI2912QQS
1001 North fairfa( Strtet Suite 201 Alexalyendrla VA 22314
WwwfHladacorg(~rtifkation
PhOM 800 bull $430497 Of 10314J1686 ra~ Wpoundt~17L136 or 7031411amp98
May 21 2013
Mr Gordon S Leith 8930 tour Winds Suite 218 San Antonio TX 78239
Dear Mr Leith
Congratulations on your re-credentialing as a National Master Addiction Counselor (MAC) An updated sea is enclosed for you to affix to your certificate indicating that your credential is valid through Aprfl30 2015
Please retain this letter to use in verifying your national credential to other agencies
It is mandatory that all credential holders maintain currency in the essential counseling functions and strive to increase their knowledge in the most modern counseling techniques Hencel you must re-credential in two years
Re-credentialhig wilt require that you present a current state level certification attest to the fact that you have completed 40 contact hours euroIf trainingeducation and agree to provide documentation of thosehours should you be randomly audited The education hours should be either directly applicable to the alcohoUsm and drug abuse counseling arena or in subjects related thereto The Certitlcation Commission is looking for about 20 hours in eath
area
The NAAOAC Certification Commission accepts aU courses of study and educational opportunities approved by the state level alcoholism and dru~ abuse counseling certificationlicensing bodies and those presented by NAADAC Approv~d Education Providers Other educational offeringswiIJ be assessed on a case by case basis
Again Congratulations on your achievement and our thanks for your support of the development and continuatlonmiddotof national standards for the individual counselor in our profession
Sincerely
Kathryn Bensonl NCAC til SAP Chair
Enclosure
euro lives
12198
I
GORDON S LEITH 245 WEATHERCOCK LANE SAN ANTONIO TX 78239
NAADAC Certification Commission 901 N Wsshirlgton Street Suite 600 Alexandria Virginia 22314-1535 703741-7686 bull 1-800-548-0497 Fax 7031741-7698
June 23 2005
GORDON S LEITH 245 WEATHERCOCK LANE SAN ANTONIO TX 78239
Dear Gordon
We have received and graded your Examination for Substance Abuse Professionals I am pleased to inform you of your score of 89 of 100 Enclosed is your certificate ofcompletion
Please look in the new offical NAADAC magazineAddiction Professional~ and the NAADAC Newsletter for workshop and conference announcements We plan to offer more independent study courses in the future Feelfree to let us know ifyou have a suggestion for a particular subject
Sincerely
~~~~ Shirley Beckett NCAC n eertification Administrator
iii =--catlon Commh~skln anIIlIIanomous body of NAADAC TheANoclalio1i ~AddIction
NATIONAL ASSOCIATION FOR ADDICTION PROFESSIONALS 901 N Washington Street Suite 600
Alexandria Virginia 22314
This is to certify that
GORDON S LEITH has completed
Examination for Substance Abuse Professionals Hours 12
Date Course Completed 061512005
This Training meets the requirements middoto~49 CPR Part 40281 (c) qualification for The DOT and 49 CPR Part 40281 (c) (2) Vafuhted Examinations
Date Awarded 0812312005 NAADAC Approved Provider 0189
Approved by middotmiddotmiddotmiddotmiddot ~~~~
fIlt~~jJiNlR~ III Shirley Beckett NCAC n Certification Administrator
Certificate of SAP Continuing Education THIS CERTIFIES THAT
Gordon S Leith
HAS SUCCESSFULLY COMPLETED TWELVE (12) HOURS OF CONTINUING EDUCATION IN
DOT SAP REGULATIONS REVIEW AND UPDATE
Federal Department ofTransportation Regulations and Assessment Requirements and Procedures
for the Substance Abuse Professional (SAP)
May 302011
This continuing education module meets the requiretnents of 49 CFR PART 40281 (d)
The module included a documentable assessment tool as requited by 49 CFRPART 4O281(d)(2)
Course Approvals
EACC 12 PDHs in Domain II (SSSLONLNI0~E49)
NASW 12 CEUs (Provider 886476155)
NBCC 12 hours (Provider 6304)
LeeMauk SAPlistcom Administrator
wwwsaplistcom
For verification or questions please call SAPlistcom (612) 827-4147 or e-mail toContinuingEdSAPlistcom
CURRENT CONTINUING EDUCATION HOURS Date Course Provider Hours
5302011 DOTSAP Regulations Review and Update
SAPlist U 12
5202008
Substance Abuse Professional Renewal Training Module 1 FMCSA (US DOT)
Program Services Karen Albig Smith MAT LMFT CAP MACmiddot
2
5132008 The Adventu res of Sandra Sapp
American Substance Abuse Professionals (ASAP) Reed Morrison PhD CAS
6
4112006
4 hours SAP Training by South Texas Cha pter EAPA SAP refresher with exam
Clifford B Melton LPC CEAPCCDS SAP Jack Harris LPC LCSW CEAP SAP AJDiCaro Jr MRO
4
Certificate of SAP Continuing Education THIS CERTIFIES THAT
Gordon S Leith
HAS SUCCESSFULLY COMPLETED TWELVE (12) HOURS OF CONTINUING EDUCATION IN
DOT SAP REGULATIONS REVIEW AND UPDATE
Federal Department of Transportation Regulations and
Assessment Requirements and Procedures
for the Substance Abuse Professional (SAP)
June 15 2014
This continuing education module meets the requirements of 49 CFR P ART 40281 (d)
The module included a documentable assessment tool as required by 49 CFR PART 40281(d)(2)
Course Approvals
EACC 12 PDHs in Domain II (SSSPONLN13-G85)
NASW 12 CEUs (Provider 886476155)
NBCC 12 hours (Provider 6304)
LeeMauk SAPlistcom Administrator
wwwsaplistcom
For verification or questiOns please call SAPlistcom (612) 827-4147 or e-mail toContinuingEdSAPlistcom
Certificate of Insurance (Proof of Coverage) Date Issued 732014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Star Point Counseling Service PLLC Gordon Leith 245 Weathercock Lane San Antonio TX 78239
Additional insured locations are often requested by individual business owners who have more than one office Your coverage is portable meaning that you are covered at any location for practice under the
occupation(s) listed on your policy
Administered By CPH and Associates
711 S Dearborn Suite 205 Chicago IL 60605
P 312-987-9823 F 312-987-0902 infocphinscom Underwritten By
Philadelphia Indemnity Insurance Company
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSLTRED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
NA NA
$1 million $3 million
Unlimited Unlimited
$35000
Should any of the above described policy be cancelled before the expiration date thereof the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left but failure to do so shall impose no obligation
PROOF OF COVERAGE or liability of any kind upon the insurer its agents or representatives
Holder has also been added to the policy as an additional insured Authorized Representative _YesfXNo
lfthe certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s) ( fZJJfmiddot~
C Philip Hodson
DISCLAIMER The Certificate ofInsurance does not constitute a contract between the issuing insurer(s) authorized representative or producer and the certificate holder nor does it affirmatively or negatively amend extend or alter the coverage afforded by the policies listed thereon
I
ALLIED HEALTHCARE PROFESSIONAL AND SUPPLEMENTAL LIABILITY
INSURANCE POLICY DECLARATIONS
RENEWAL DECLARATIONS
ATTACH THIS RENEWAL DECLARATIONS TO YOUR EXPIRING POLICY
Policy Number PHCP074922 Philadelphia Indemnity Insurance Company
Administered by CPH amp Associates
711 S Dearborn St Ste205
Chicago IL 60605
Star Point Counseling Service PLLC
Gordon Leith
245 Weathercock Lane
San Antonio TX 78239
Affiliation NSP
Professional Occupation Counselor
Coverage Term From 061202014 To 062012015 at 1201 am Standard Time at the Insureds Mailing Address shown above
COVERAGE A - PROFESSIONAL LIABILITY LIMITS OF LIABILITY PREMIUM COVERAGE
Individual-Each Incident $NA $384
Aggregate $NA
Association Partnership or Corporation-Each Incident $1 million
Aggregate $3 million
COVERAGEB SUPPLEMENTAL LIABILITY
COVERAGE
Each Incident $1 million (Included)
Aggregate $3 million
STATE LICENSING BOARD INVESTIGATION DEFENSE
COVERAGE I $35000
COMMERCIAL GENERAL LIABILITY COVERAGE
Each Incident NIA
Aggregate NIA
PROPERTY COVERAGE
NA
Premium (including taxes) $ 38400
Policy Forms amp Endorsements PI-PHCP-02 (0710)
By
ampOmiddot0 Jamie Nla~QUUe
State Endorsement(s) made a part of this policy at the time of issue refer to wwwcphinscom
Call the Administrator to Verify Claims History at
H4AIMC-_shyTHE NAAPAC middotCERTIFICATION COMMISSION
hereby attests that
middotGmiddotORDON S IJEITH
~met all ofth~Do~req~ments
fOfpraciceas aS~bstance~use Profess~~l
-and ~Y~~thC~~l~ ~f ~ ~ ~
~ SAP
Certification Number 13791
Course Date ~1~ ()6151Z00sect Good for 3JearampfronishyDate Awarded 1)lI2912QQS
1001 North fairfa( Strtet Suite 201 Alexalyendrla VA 22314
WwwfHladacorg(~rtifkation
PhOM 800 bull $430497 Of 10314J1686 ra~ Wpoundt~17L136 or 7031411amp98
May 21 2013
Mr Gordon S Leith 8930 tour Winds Suite 218 San Antonio TX 78239
Dear Mr Leith
Congratulations on your re-credentialing as a National Master Addiction Counselor (MAC) An updated sea is enclosed for you to affix to your certificate indicating that your credential is valid through Aprfl30 2015
Please retain this letter to use in verifying your national credential to other agencies
It is mandatory that all credential holders maintain currency in the essential counseling functions and strive to increase their knowledge in the most modern counseling techniques Hencel you must re-credential in two years
Re-credentialhig wilt require that you present a current state level certification attest to the fact that you have completed 40 contact hours euroIf trainingeducation and agree to provide documentation of thosehours should you be randomly audited The education hours should be either directly applicable to the alcohoUsm and drug abuse counseling arena or in subjects related thereto The Certitlcation Commission is looking for about 20 hours in eath
area
The NAAOAC Certification Commission accepts aU courses of study and educational opportunities approved by the state level alcoholism and dru~ abuse counseling certificationlicensing bodies and those presented by NAADAC Approv~d Education Providers Other educational offeringswiIJ be assessed on a case by case basis
Again Congratulations on your achievement and our thanks for your support of the development and continuatlonmiddotof national standards for the individual counselor in our profession
Sincerely
Kathryn Bensonl NCAC til SAP Chair
Enclosure
euro lives
12198
I
GORDON S LEITH 245 WEATHERCOCK LANE SAN ANTONIO TX 78239
NAADAC Certification Commission 901 N Wsshirlgton Street Suite 600 Alexandria Virginia 22314-1535 703741-7686 bull 1-800-548-0497 Fax 7031741-7698
June 23 2005
GORDON S LEITH 245 WEATHERCOCK LANE SAN ANTONIO TX 78239
Dear Gordon
We have received and graded your Examination for Substance Abuse Professionals I am pleased to inform you of your score of 89 of 100 Enclosed is your certificate ofcompletion
Please look in the new offical NAADAC magazineAddiction Professional~ and the NAADAC Newsletter for workshop and conference announcements We plan to offer more independent study courses in the future Feelfree to let us know ifyou have a suggestion for a particular subject
Sincerely
~~~~ Shirley Beckett NCAC n eertification Administrator
iii =--catlon Commh~skln anIIlIIanomous body of NAADAC TheANoclalio1i ~AddIction
NATIONAL ASSOCIATION FOR ADDICTION PROFESSIONALS 901 N Washington Street Suite 600
Alexandria Virginia 22314
This is to certify that
GORDON S LEITH has completed
Examination for Substance Abuse Professionals Hours 12
Date Course Completed 061512005
This Training meets the requirements middoto~49 CPR Part 40281 (c) qualification for The DOT and 49 CPR Part 40281 (c) (2) Vafuhted Examinations
Date Awarded 0812312005 NAADAC Approved Provider 0189
Approved by middotmiddotmiddotmiddotmiddot ~~~~
fIlt~~jJiNlR~ III Shirley Beckett NCAC n Certification Administrator
Certificate of SAP Continuing Education THIS CERTIFIES THAT
Gordon S Leith
HAS SUCCESSFULLY COMPLETED TWELVE (12) HOURS OF CONTINUING EDUCATION IN
DOT SAP REGULATIONS REVIEW AND UPDATE
Federal Department ofTransportation Regulations and Assessment Requirements and Procedures
for the Substance Abuse Professional (SAP)
May 302011
This continuing education module meets the requiretnents of 49 CFR PART 40281 (d)
The module included a documentable assessment tool as requited by 49 CFRPART 4O281(d)(2)
Course Approvals
EACC 12 PDHs in Domain II (SSSLONLNI0~E49)
NASW 12 CEUs (Provider 886476155)
NBCC 12 hours (Provider 6304)
LeeMauk SAPlistcom Administrator
wwwsaplistcom
For verification or questions please call SAPlistcom (612) 827-4147 or e-mail toContinuingEdSAPlistcom
CURRENT CONTINUING EDUCATION HOURS Date Course Provider Hours
5302011 DOTSAP Regulations Review and Update
SAPlist U 12
5202008
Substance Abuse Professional Renewal Training Module 1 FMCSA (US DOT)
Program Services Karen Albig Smith MAT LMFT CAP MACmiddot
2
5132008 The Adventu res of Sandra Sapp
American Substance Abuse Professionals (ASAP) Reed Morrison PhD CAS
6
4112006
4 hours SAP Training by South Texas Cha pter EAPA SAP refresher with exam
Clifford B Melton LPC CEAPCCDS SAP Jack Harris LPC LCSW CEAP SAP AJDiCaro Jr MRO
4
Certificate of SAP Continuing Education THIS CERTIFIES THAT
Gordon S Leith
HAS SUCCESSFULLY COMPLETED TWELVE (12) HOURS OF CONTINUING EDUCATION IN
DOT SAP REGULATIONS REVIEW AND UPDATE
Federal Department of Transportation Regulations and
Assessment Requirements and Procedures
for the Substance Abuse Professional (SAP)
June 15 2014
This continuing education module meets the requirements of 49 CFR P ART 40281 (d)
The module included a documentable assessment tool as required by 49 CFR PART 40281(d)(2)
Course Approvals
EACC 12 PDHs in Domain II (SSSPONLN13-G85)
NASW 12 CEUs (Provider 886476155)
NBCC 12 hours (Provider 6304)
LeeMauk SAPlistcom Administrator
wwwsaplistcom
For verification or questiOns please call SAPlistcom (612) 827-4147 or e-mail toContinuingEdSAPlistcom
I
ALLIED HEALTHCARE PROFESSIONAL AND SUPPLEMENTAL LIABILITY
INSURANCE POLICY DECLARATIONS
RENEWAL DECLARATIONS
ATTACH THIS RENEWAL DECLARATIONS TO YOUR EXPIRING POLICY
Policy Number PHCP074922 Philadelphia Indemnity Insurance Company
Administered by CPH amp Associates
711 S Dearborn St Ste205
Chicago IL 60605
Star Point Counseling Service PLLC
Gordon Leith
245 Weathercock Lane
San Antonio TX 78239
Affiliation NSP
Professional Occupation Counselor
Coverage Term From 061202014 To 062012015 at 1201 am Standard Time at the Insureds Mailing Address shown above
COVERAGE A - PROFESSIONAL LIABILITY LIMITS OF LIABILITY PREMIUM COVERAGE
Individual-Each Incident $NA $384
Aggregate $NA
Association Partnership or Corporation-Each Incident $1 million
Aggregate $3 million
COVERAGEB SUPPLEMENTAL LIABILITY
COVERAGE
Each Incident $1 million (Included)
Aggregate $3 million
STATE LICENSING BOARD INVESTIGATION DEFENSE
COVERAGE I $35000
COMMERCIAL GENERAL LIABILITY COVERAGE
Each Incident NIA
Aggregate NIA
PROPERTY COVERAGE
NA
Premium (including taxes) $ 38400
Policy Forms amp Endorsements PI-PHCP-02 (0710)
By
ampOmiddot0 Jamie Nla~QUUe
State Endorsement(s) made a part of this policy at the time of issue refer to wwwcphinscom
Call the Administrator to Verify Claims History at
H4AIMC-_shyTHE NAAPAC middotCERTIFICATION COMMISSION
hereby attests that
middotGmiddotORDON S IJEITH
~met all ofth~Do~req~ments
fOfpraciceas aS~bstance~use Profess~~l
-and ~Y~~thC~~l~ ~f ~ ~ ~
~ SAP
Certification Number 13791
Course Date ~1~ ()6151Z00sect Good for 3JearampfronishyDate Awarded 1)lI2912QQS
1001 North fairfa( Strtet Suite 201 Alexalyendrla VA 22314
WwwfHladacorg(~rtifkation
PhOM 800 bull $430497 Of 10314J1686 ra~ Wpoundt~17L136 or 7031411amp98
May 21 2013
Mr Gordon S Leith 8930 tour Winds Suite 218 San Antonio TX 78239
Dear Mr Leith
Congratulations on your re-credentialing as a National Master Addiction Counselor (MAC) An updated sea is enclosed for you to affix to your certificate indicating that your credential is valid through Aprfl30 2015
Please retain this letter to use in verifying your national credential to other agencies
It is mandatory that all credential holders maintain currency in the essential counseling functions and strive to increase their knowledge in the most modern counseling techniques Hencel you must re-credential in two years
Re-credentialhig wilt require that you present a current state level certification attest to the fact that you have completed 40 contact hours euroIf trainingeducation and agree to provide documentation of thosehours should you be randomly audited The education hours should be either directly applicable to the alcohoUsm and drug abuse counseling arena or in subjects related thereto The Certitlcation Commission is looking for about 20 hours in eath
area
The NAAOAC Certification Commission accepts aU courses of study and educational opportunities approved by the state level alcoholism and dru~ abuse counseling certificationlicensing bodies and those presented by NAADAC Approv~d Education Providers Other educational offeringswiIJ be assessed on a case by case basis
Again Congratulations on your achievement and our thanks for your support of the development and continuatlonmiddotof national standards for the individual counselor in our profession
Sincerely
Kathryn Bensonl NCAC til SAP Chair
Enclosure
euro lives
12198
I
GORDON S LEITH 245 WEATHERCOCK LANE SAN ANTONIO TX 78239
NAADAC Certification Commission 901 N Wsshirlgton Street Suite 600 Alexandria Virginia 22314-1535 703741-7686 bull 1-800-548-0497 Fax 7031741-7698
June 23 2005
GORDON S LEITH 245 WEATHERCOCK LANE SAN ANTONIO TX 78239
Dear Gordon
We have received and graded your Examination for Substance Abuse Professionals I am pleased to inform you of your score of 89 of 100 Enclosed is your certificate ofcompletion
Please look in the new offical NAADAC magazineAddiction Professional~ and the NAADAC Newsletter for workshop and conference announcements We plan to offer more independent study courses in the future Feelfree to let us know ifyou have a suggestion for a particular subject
Sincerely
~~~~ Shirley Beckett NCAC n eertification Administrator
iii =--catlon Commh~skln anIIlIIanomous body of NAADAC TheANoclalio1i ~AddIction
NATIONAL ASSOCIATION FOR ADDICTION PROFESSIONALS 901 N Washington Street Suite 600
Alexandria Virginia 22314
This is to certify that
GORDON S LEITH has completed
Examination for Substance Abuse Professionals Hours 12
Date Course Completed 061512005
This Training meets the requirements middoto~49 CPR Part 40281 (c) qualification for The DOT and 49 CPR Part 40281 (c) (2) Vafuhted Examinations
Date Awarded 0812312005 NAADAC Approved Provider 0189
Approved by middotmiddotmiddotmiddotmiddot ~~~~
fIlt~~jJiNlR~ III Shirley Beckett NCAC n Certification Administrator
Certificate of SAP Continuing Education THIS CERTIFIES THAT
Gordon S Leith
HAS SUCCESSFULLY COMPLETED TWELVE (12) HOURS OF CONTINUING EDUCATION IN
DOT SAP REGULATIONS REVIEW AND UPDATE
Federal Department ofTransportation Regulations and Assessment Requirements and Procedures
for the Substance Abuse Professional (SAP)
May 302011
This continuing education module meets the requiretnents of 49 CFR PART 40281 (d)
The module included a documentable assessment tool as requited by 49 CFRPART 4O281(d)(2)
Course Approvals
EACC 12 PDHs in Domain II (SSSLONLNI0~E49)
NASW 12 CEUs (Provider 886476155)
NBCC 12 hours (Provider 6304)
LeeMauk SAPlistcom Administrator
wwwsaplistcom
For verification or questions please call SAPlistcom (612) 827-4147 or e-mail toContinuingEdSAPlistcom
CURRENT CONTINUING EDUCATION HOURS Date Course Provider Hours
5302011 DOTSAP Regulations Review and Update
SAPlist U 12
5202008
Substance Abuse Professional Renewal Training Module 1 FMCSA (US DOT)
Program Services Karen Albig Smith MAT LMFT CAP MACmiddot
2
5132008 The Adventu res of Sandra Sapp
American Substance Abuse Professionals (ASAP) Reed Morrison PhD CAS
6
4112006
4 hours SAP Training by South Texas Cha pter EAPA SAP refresher with exam
Clifford B Melton LPC CEAPCCDS SAP Jack Harris LPC LCSW CEAP SAP AJDiCaro Jr MRO
4
Certificate of SAP Continuing Education THIS CERTIFIES THAT
Gordon S Leith
HAS SUCCESSFULLY COMPLETED TWELVE (12) HOURS OF CONTINUING EDUCATION IN
DOT SAP REGULATIONS REVIEW AND UPDATE
Federal Department of Transportation Regulations and
Assessment Requirements and Procedures
for the Substance Abuse Professional (SAP)
June 15 2014
This continuing education module meets the requirements of 49 CFR P ART 40281 (d)
The module included a documentable assessment tool as required by 49 CFR PART 40281(d)(2)
Course Approvals
EACC 12 PDHs in Domain II (SSSPONLN13-G85)
NASW 12 CEUs (Provider 886476155)
NBCC 12 hours (Provider 6304)
LeeMauk SAPlistcom Administrator
wwwsaplistcom
For verification or questiOns please call SAPlistcom (612) 827-4147 or e-mail toContinuingEdSAPlistcom
H4AIMC-_shyTHE NAAPAC middotCERTIFICATION COMMISSION
hereby attests that
middotGmiddotORDON S IJEITH
~met all ofth~Do~req~ments
fOfpraciceas aS~bstance~use Profess~~l
-and ~Y~~thC~~l~ ~f ~ ~ ~
~ SAP
Certification Number 13791
Course Date ~1~ ()6151Z00sect Good for 3JearampfronishyDate Awarded 1)lI2912QQS
1001 North fairfa( Strtet Suite 201 Alexalyendrla VA 22314
WwwfHladacorg(~rtifkation
PhOM 800 bull $430497 Of 10314J1686 ra~ Wpoundt~17L136 or 7031411amp98
May 21 2013
Mr Gordon S Leith 8930 tour Winds Suite 218 San Antonio TX 78239
Dear Mr Leith
Congratulations on your re-credentialing as a National Master Addiction Counselor (MAC) An updated sea is enclosed for you to affix to your certificate indicating that your credential is valid through Aprfl30 2015
Please retain this letter to use in verifying your national credential to other agencies
It is mandatory that all credential holders maintain currency in the essential counseling functions and strive to increase their knowledge in the most modern counseling techniques Hencel you must re-credential in two years
Re-credentialhig wilt require that you present a current state level certification attest to the fact that you have completed 40 contact hours euroIf trainingeducation and agree to provide documentation of thosehours should you be randomly audited The education hours should be either directly applicable to the alcohoUsm and drug abuse counseling arena or in subjects related thereto The Certitlcation Commission is looking for about 20 hours in eath
area
The NAAOAC Certification Commission accepts aU courses of study and educational opportunities approved by the state level alcoholism and dru~ abuse counseling certificationlicensing bodies and those presented by NAADAC Approv~d Education Providers Other educational offeringswiIJ be assessed on a case by case basis
Again Congratulations on your achievement and our thanks for your support of the development and continuatlonmiddotof national standards for the individual counselor in our profession
Sincerely
Kathryn Bensonl NCAC til SAP Chair
Enclosure
euro lives
12198
I
GORDON S LEITH 245 WEATHERCOCK LANE SAN ANTONIO TX 78239
NAADAC Certification Commission 901 N Wsshirlgton Street Suite 600 Alexandria Virginia 22314-1535 703741-7686 bull 1-800-548-0497 Fax 7031741-7698
June 23 2005
GORDON S LEITH 245 WEATHERCOCK LANE SAN ANTONIO TX 78239
Dear Gordon
We have received and graded your Examination for Substance Abuse Professionals I am pleased to inform you of your score of 89 of 100 Enclosed is your certificate ofcompletion
Please look in the new offical NAADAC magazineAddiction Professional~ and the NAADAC Newsletter for workshop and conference announcements We plan to offer more independent study courses in the future Feelfree to let us know ifyou have a suggestion for a particular subject
Sincerely
~~~~ Shirley Beckett NCAC n eertification Administrator
iii =--catlon Commh~skln anIIlIIanomous body of NAADAC TheANoclalio1i ~AddIction
NATIONAL ASSOCIATION FOR ADDICTION PROFESSIONALS 901 N Washington Street Suite 600
Alexandria Virginia 22314
This is to certify that
GORDON S LEITH has completed
Examination for Substance Abuse Professionals Hours 12
Date Course Completed 061512005
This Training meets the requirements middoto~49 CPR Part 40281 (c) qualification for The DOT and 49 CPR Part 40281 (c) (2) Vafuhted Examinations
Date Awarded 0812312005 NAADAC Approved Provider 0189
Approved by middotmiddotmiddotmiddotmiddot ~~~~
fIlt~~jJiNlR~ III Shirley Beckett NCAC n Certification Administrator
Certificate of SAP Continuing Education THIS CERTIFIES THAT
Gordon S Leith
HAS SUCCESSFULLY COMPLETED TWELVE (12) HOURS OF CONTINUING EDUCATION IN
DOT SAP REGULATIONS REVIEW AND UPDATE
Federal Department ofTransportation Regulations and Assessment Requirements and Procedures
for the Substance Abuse Professional (SAP)
May 302011
This continuing education module meets the requiretnents of 49 CFR PART 40281 (d)
The module included a documentable assessment tool as requited by 49 CFRPART 4O281(d)(2)
Course Approvals
EACC 12 PDHs in Domain II (SSSLONLNI0~E49)
NASW 12 CEUs (Provider 886476155)
NBCC 12 hours (Provider 6304)
LeeMauk SAPlistcom Administrator
wwwsaplistcom
For verification or questions please call SAPlistcom (612) 827-4147 or e-mail toContinuingEdSAPlistcom
CURRENT CONTINUING EDUCATION HOURS Date Course Provider Hours
5302011 DOTSAP Regulations Review and Update
SAPlist U 12
5202008
Substance Abuse Professional Renewal Training Module 1 FMCSA (US DOT)
Program Services Karen Albig Smith MAT LMFT CAP MACmiddot
2
5132008 The Adventu res of Sandra Sapp
American Substance Abuse Professionals (ASAP) Reed Morrison PhD CAS
6
4112006
4 hours SAP Training by South Texas Cha pter EAPA SAP refresher with exam
Clifford B Melton LPC CEAPCCDS SAP Jack Harris LPC LCSW CEAP SAP AJDiCaro Jr MRO
4
Certificate of SAP Continuing Education THIS CERTIFIES THAT
Gordon S Leith
HAS SUCCESSFULLY COMPLETED TWELVE (12) HOURS OF CONTINUING EDUCATION IN
DOT SAP REGULATIONS REVIEW AND UPDATE
Federal Department of Transportation Regulations and
Assessment Requirements and Procedures
for the Substance Abuse Professional (SAP)
June 15 2014
This continuing education module meets the requirements of 49 CFR P ART 40281 (d)
The module included a documentable assessment tool as required by 49 CFR PART 40281(d)(2)
Course Approvals
EACC 12 PDHs in Domain II (SSSPONLN13-G85)
NASW 12 CEUs (Provider 886476155)
NBCC 12 hours (Provider 6304)
LeeMauk SAPlistcom Administrator
wwwsaplistcom
For verification or questiOns please call SAPlistcom (612) 827-4147 or e-mail toContinuingEdSAPlistcom
1001 North fairfa( Strtet Suite 201 Alexalyendrla VA 22314
WwwfHladacorg(~rtifkation
PhOM 800 bull $430497 Of 10314J1686 ra~ Wpoundt~17L136 or 7031411amp98
May 21 2013
Mr Gordon S Leith 8930 tour Winds Suite 218 San Antonio TX 78239
Dear Mr Leith
Congratulations on your re-credentialing as a National Master Addiction Counselor (MAC) An updated sea is enclosed for you to affix to your certificate indicating that your credential is valid through Aprfl30 2015
Please retain this letter to use in verifying your national credential to other agencies
It is mandatory that all credential holders maintain currency in the essential counseling functions and strive to increase their knowledge in the most modern counseling techniques Hencel you must re-credential in two years
Re-credentialhig wilt require that you present a current state level certification attest to the fact that you have completed 40 contact hours euroIf trainingeducation and agree to provide documentation of thosehours should you be randomly audited The education hours should be either directly applicable to the alcohoUsm and drug abuse counseling arena or in subjects related thereto The Certitlcation Commission is looking for about 20 hours in eath
area
The NAAOAC Certification Commission accepts aU courses of study and educational opportunities approved by the state level alcoholism and dru~ abuse counseling certificationlicensing bodies and those presented by NAADAC Approv~d Education Providers Other educational offeringswiIJ be assessed on a case by case basis
Again Congratulations on your achievement and our thanks for your support of the development and continuatlonmiddotof national standards for the individual counselor in our profession
Sincerely
Kathryn Bensonl NCAC til SAP Chair
Enclosure
euro lives
12198
I
GORDON S LEITH 245 WEATHERCOCK LANE SAN ANTONIO TX 78239
NAADAC Certification Commission 901 N Wsshirlgton Street Suite 600 Alexandria Virginia 22314-1535 703741-7686 bull 1-800-548-0497 Fax 7031741-7698
June 23 2005
GORDON S LEITH 245 WEATHERCOCK LANE SAN ANTONIO TX 78239
Dear Gordon
We have received and graded your Examination for Substance Abuse Professionals I am pleased to inform you of your score of 89 of 100 Enclosed is your certificate ofcompletion
Please look in the new offical NAADAC magazineAddiction Professional~ and the NAADAC Newsletter for workshop and conference announcements We plan to offer more independent study courses in the future Feelfree to let us know ifyou have a suggestion for a particular subject
Sincerely
~~~~ Shirley Beckett NCAC n eertification Administrator
iii =--catlon Commh~skln anIIlIIanomous body of NAADAC TheANoclalio1i ~AddIction
NATIONAL ASSOCIATION FOR ADDICTION PROFESSIONALS 901 N Washington Street Suite 600
Alexandria Virginia 22314
This is to certify that
GORDON S LEITH has completed
Examination for Substance Abuse Professionals Hours 12
Date Course Completed 061512005
This Training meets the requirements middoto~49 CPR Part 40281 (c) qualification for The DOT and 49 CPR Part 40281 (c) (2) Vafuhted Examinations
Date Awarded 0812312005 NAADAC Approved Provider 0189
Approved by middotmiddotmiddotmiddotmiddot ~~~~
fIlt~~jJiNlR~ III Shirley Beckett NCAC n Certification Administrator
Certificate of SAP Continuing Education THIS CERTIFIES THAT
Gordon S Leith
HAS SUCCESSFULLY COMPLETED TWELVE (12) HOURS OF CONTINUING EDUCATION IN
DOT SAP REGULATIONS REVIEW AND UPDATE
Federal Department ofTransportation Regulations and Assessment Requirements and Procedures
for the Substance Abuse Professional (SAP)
May 302011
This continuing education module meets the requiretnents of 49 CFR PART 40281 (d)
The module included a documentable assessment tool as requited by 49 CFRPART 4O281(d)(2)
Course Approvals
EACC 12 PDHs in Domain II (SSSLONLNI0~E49)
NASW 12 CEUs (Provider 886476155)
NBCC 12 hours (Provider 6304)
LeeMauk SAPlistcom Administrator
wwwsaplistcom
For verification or questions please call SAPlistcom (612) 827-4147 or e-mail toContinuingEdSAPlistcom
CURRENT CONTINUING EDUCATION HOURS Date Course Provider Hours
5302011 DOTSAP Regulations Review and Update
SAPlist U 12
5202008
Substance Abuse Professional Renewal Training Module 1 FMCSA (US DOT)
Program Services Karen Albig Smith MAT LMFT CAP MACmiddot
2
5132008 The Adventu res of Sandra Sapp
American Substance Abuse Professionals (ASAP) Reed Morrison PhD CAS
6
4112006
4 hours SAP Training by South Texas Cha pter EAPA SAP refresher with exam
Clifford B Melton LPC CEAPCCDS SAP Jack Harris LPC LCSW CEAP SAP AJDiCaro Jr MRO
4
Certificate of SAP Continuing Education THIS CERTIFIES THAT
Gordon S Leith
HAS SUCCESSFULLY COMPLETED TWELVE (12) HOURS OF CONTINUING EDUCATION IN
DOT SAP REGULATIONS REVIEW AND UPDATE
Federal Department of Transportation Regulations and
Assessment Requirements and Procedures
for the Substance Abuse Professional (SAP)
June 15 2014
This continuing education module meets the requirements of 49 CFR P ART 40281 (d)
The module included a documentable assessment tool as required by 49 CFR PART 40281(d)(2)
Course Approvals
EACC 12 PDHs in Domain II (SSSPONLN13-G85)
NASW 12 CEUs (Provider 886476155)
NBCC 12 hours (Provider 6304)
LeeMauk SAPlistcom Administrator
wwwsaplistcom
For verification or questiOns please call SAPlistcom (612) 827-4147 or e-mail toContinuingEdSAPlistcom
12198
I
GORDON S LEITH 245 WEATHERCOCK LANE SAN ANTONIO TX 78239
NAADAC Certification Commission 901 N Wsshirlgton Street Suite 600 Alexandria Virginia 22314-1535 703741-7686 bull 1-800-548-0497 Fax 7031741-7698
June 23 2005
GORDON S LEITH 245 WEATHERCOCK LANE SAN ANTONIO TX 78239
Dear Gordon
We have received and graded your Examination for Substance Abuse Professionals I am pleased to inform you of your score of 89 of 100 Enclosed is your certificate ofcompletion
Please look in the new offical NAADAC magazineAddiction Professional~ and the NAADAC Newsletter for workshop and conference announcements We plan to offer more independent study courses in the future Feelfree to let us know ifyou have a suggestion for a particular subject
Sincerely
~~~~ Shirley Beckett NCAC n eertification Administrator
iii =--catlon Commh~skln anIIlIIanomous body of NAADAC TheANoclalio1i ~AddIction
NATIONAL ASSOCIATION FOR ADDICTION PROFESSIONALS 901 N Washington Street Suite 600
Alexandria Virginia 22314
This is to certify that
GORDON S LEITH has completed
Examination for Substance Abuse Professionals Hours 12
Date Course Completed 061512005
This Training meets the requirements middoto~49 CPR Part 40281 (c) qualification for The DOT and 49 CPR Part 40281 (c) (2) Vafuhted Examinations
Date Awarded 0812312005 NAADAC Approved Provider 0189
Approved by middotmiddotmiddotmiddotmiddot ~~~~
fIlt~~jJiNlR~ III Shirley Beckett NCAC n Certification Administrator
Certificate of SAP Continuing Education THIS CERTIFIES THAT
Gordon S Leith
HAS SUCCESSFULLY COMPLETED TWELVE (12) HOURS OF CONTINUING EDUCATION IN
DOT SAP REGULATIONS REVIEW AND UPDATE
Federal Department ofTransportation Regulations and Assessment Requirements and Procedures
for the Substance Abuse Professional (SAP)
May 302011
This continuing education module meets the requiretnents of 49 CFR PART 40281 (d)
The module included a documentable assessment tool as requited by 49 CFRPART 4O281(d)(2)
Course Approvals
EACC 12 PDHs in Domain II (SSSLONLNI0~E49)
NASW 12 CEUs (Provider 886476155)
NBCC 12 hours (Provider 6304)
LeeMauk SAPlistcom Administrator
wwwsaplistcom
For verification or questions please call SAPlistcom (612) 827-4147 or e-mail toContinuingEdSAPlistcom
CURRENT CONTINUING EDUCATION HOURS Date Course Provider Hours
5302011 DOTSAP Regulations Review and Update
SAPlist U 12
5202008
Substance Abuse Professional Renewal Training Module 1 FMCSA (US DOT)
Program Services Karen Albig Smith MAT LMFT CAP MACmiddot
2
5132008 The Adventu res of Sandra Sapp
American Substance Abuse Professionals (ASAP) Reed Morrison PhD CAS
6
4112006
4 hours SAP Training by South Texas Cha pter EAPA SAP refresher with exam
Clifford B Melton LPC CEAPCCDS SAP Jack Harris LPC LCSW CEAP SAP AJDiCaro Jr MRO
4
Certificate of SAP Continuing Education THIS CERTIFIES THAT
Gordon S Leith
HAS SUCCESSFULLY COMPLETED TWELVE (12) HOURS OF CONTINUING EDUCATION IN
DOT SAP REGULATIONS REVIEW AND UPDATE
Federal Department of Transportation Regulations and
Assessment Requirements and Procedures
for the Substance Abuse Professional (SAP)
June 15 2014
This continuing education module meets the requirements of 49 CFR P ART 40281 (d)
The module included a documentable assessment tool as required by 49 CFR PART 40281(d)(2)
Course Approvals
EACC 12 PDHs in Domain II (SSSPONLN13-G85)
NASW 12 CEUs (Provider 886476155)
NBCC 12 hours (Provider 6304)
LeeMauk SAPlistcom Administrator
wwwsaplistcom
For verification or questiOns please call SAPlistcom (612) 827-4147 or e-mail toContinuingEdSAPlistcom
NATIONAL ASSOCIATION FOR ADDICTION PROFESSIONALS 901 N Washington Street Suite 600
Alexandria Virginia 22314
This is to certify that
GORDON S LEITH has completed
Examination for Substance Abuse Professionals Hours 12
Date Course Completed 061512005
This Training meets the requirements middoto~49 CPR Part 40281 (c) qualification for The DOT and 49 CPR Part 40281 (c) (2) Vafuhted Examinations
Date Awarded 0812312005 NAADAC Approved Provider 0189
Approved by middotmiddotmiddotmiddotmiddot ~~~~
fIlt~~jJiNlR~ III Shirley Beckett NCAC n Certification Administrator
Certificate of SAP Continuing Education THIS CERTIFIES THAT
Gordon S Leith
HAS SUCCESSFULLY COMPLETED TWELVE (12) HOURS OF CONTINUING EDUCATION IN
DOT SAP REGULATIONS REVIEW AND UPDATE
Federal Department ofTransportation Regulations and Assessment Requirements and Procedures
for the Substance Abuse Professional (SAP)
May 302011
This continuing education module meets the requiretnents of 49 CFR PART 40281 (d)
The module included a documentable assessment tool as requited by 49 CFRPART 4O281(d)(2)
Course Approvals
EACC 12 PDHs in Domain II (SSSLONLNI0~E49)
NASW 12 CEUs (Provider 886476155)
NBCC 12 hours (Provider 6304)
LeeMauk SAPlistcom Administrator
wwwsaplistcom
For verification or questions please call SAPlistcom (612) 827-4147 or e-mail toContinuingEdSAPlistcom
CURRENT CONTINUING EDUCATION HOURS Date Course Provider Hours
5302011 DOTSAP Regulations Review and Update
SAPlist U 12
5202008
Substance Abuse Professional Renewal Training Module 1 FMCSA (US DOT)
Program Services Karen Albig Smith MAT LMFT CAP MACmiddot
2
5132008 The Adventu res of Sandra Sapp
American Substance Abuse Professionals (ASAP) Reed Morrison PhD CAS
6
4112006
4 hours SAP Training by South Texas Cha pter EAPA SAP refresher with exam
Clifford B Melton LPC CEAPCCDS SAP Jack Harris LPC LCSW CEAP SAP AJDiCaro Jr MRO
4
Certificate of SAP Continuing Education THIS CERTIFIES THAT
Gordon S Leith
HAS SUCCESSFULLY COMPLETED TWELVE (12) HOURS OF CONTINUING EDUCATION IN
DOT SAP REGULATIONS REVIEW AND UPDATE
Federal Department of Transportation Regulations and
Assessment Requirements and Procedures
for the Substance Abuse Professional (SAP)
June 15 2014
This continuing education module meets the requirements of 49 CFR P ART 40281 (d)
The module included a documentable assessment tool as required by 49 CFR PART 40281(d)(2)
Course Approvals
EACC 12 PDHs in Domain II (SSSPONLN13-G85)
NASW 12 CEUs (Provider 886476155)
NBCC 12 hours (Provider 6304)
LeeMauk SAPlistcom Administrator
wwwsaplistcom
For verification or questiOns please call SAPlistcom (612) 827-4147 or e-mail toContinuingEdSAPlistcom
Certificate of SAP Continuing Education THIS CERTIFIES THAT
Gordon S Leith
HAS SUCCESSFULLY COMPLETED TWELVE (12) HOURS OF CONTINUING EDUCATION IN
DOT SAP REGULATIONS REVIEW AND UPDATE
Federal Department ofTransportation Regulations and Assessment Requirements and Procedures
for the Substance Abuse Professional (SAP)
May 302011
This continuing education module meets the requiretnents of 49 CFR PART 40281 (d)
The module included a documentable assessment tool as requited by 49 CFRPART 4O281(d)(2)
Course Approvals
EACC 12 PDHs in Domain II (SSSLONLNI0~E49)
NASW 12 CEUs (Provider 886476155)
NBCC 12 hours (Provider 6304)
LeeMauk SAPlistcom Administrator
wwwsaplistcom
For verification or questions please call SAPlistcom (612) 827-4147 or e-mail toContinuingEdSAPlistcom
CURRENT CONTINUING EDUCATION HOURS Date Course Provider Hours
5302011 DOTSAP Regulations Review and Update
SAPlist U 12
5202008
Substance Abuse Professional Renewal Training Module 1 FMCSA (US DOT)
Program Services Karen Albig Smith MAT LMFT CAP MACmiddot
2
5132008 The Adventu res of Sandra Sapp
American Substance Abuse Professionals (ASAP) Reed Morrison PhD CAS
6
4112006
4 hours SAP Training by South Texas Cha pter EAPA SAP refresher with exam
Clifford B Melton LPC CEAPCCDS SAP Jack Harris LPC LCSW CEAP SAP AJDiCaro Jr MRO
4
Certificate of SAP Continuing Education THIS CERTIFIES THAT
Gordon S Leith
HAS SUCCESSFULLY COMPLETED TWELVE (12) HOURS OF CONTINUING EDUCATION IN
DOT SAP REGULATIONS REVIEW AND UPDATE
Federal Department of Transportation Regulations and
Assessment Requirements and Procedures
for the Substance Abuse Professional (SAP)
June 15 2014
This continuing education module meets the requirements of 49 CFR P ART 40281 (d)
The module included a documentable assessment tool as required by 49 CFR PART 40281(d)(2)
Course Approvals
EACC 12 PDHs in Domain II (SSSPONLN13-G85)
NASW 12 CEUs (Provider 886476155)
NBCC 12 hours (Provider 6304)
LeeMauk SAPlistcom Administrator
wwwsaplistcom
For verification or questiOns please call SAPlistcom (612) 827-4147 or e-mail toContinuingEdSAPlistcom
CURRENT CONTINUING EDUCATION HOURS Date Course Provider Hours
5302011 DOTSAP Regulations Review and Update
SAPlist U 12
5202008
Substance Abuse Professional Renewal Training Module 1 FMCSA (US DOT)
Program Services Karen Albig Smith MAT LMFT CAP MACmiddot
2
5132008 The Adventu res of Sandra Sapp
American Substance Abuse Professionals (ASAP) Reed Morrison PhD CAS
6
4112006
4 hours SAP Training by South Texas Cha pter EAPA SAP refresher with exam
Clifford B Melton LPC CEAPCCDS SAP Jack Harris LPC LCSW CEAP SAP AJDiCaro Jr MRO
4
Certificate of SAP Continuing Education THIS CERTIFIES THAT
Gordon S Leith
HAS SUCCESSFULLY COMPLETED TWELVE (12) HOURS OF CONTINUING EDUCATION IN
DOT SAP REGULATIONS REVIEW AND UPDATE
Federal Department of Transportation Regulations and
Assessment Requirements and Procedures
for the Substance Abuse Professional (SAP)
June 15 2014
This continuing education module meets the requirements of 49 CFR P ART 40281 (d)
The module included a documentable assessment tool as required by 49 CFR PART 40281(d)(2)
Course Approvals
EACC 12 PDHs in Domain II (SSSPONLN13-G85)
NASW 12 CEUs (Provider 886476155)
NBCC 12 hours (Provider 6304)
LeeMauk SAPlistcom Administrator
wwwsaplistcom
For verification or questiOns please call SAPlistcom (612) 827-4147 or e-mail toContinuingEdSAPlistcom
Certificate of SAP Continuing Education THIS CERTIFIES THAT
Gordon S Leith
HAS SUCCESSFULLY COMPLETED TWELVE (12) HOURS OF CONTINUING EDUCATION IN
DOT SAP REGULATIONS REVIEW AND UPDATE
Federal Department of Transportation Regulations and
Assessment Requirements and Procedures
for the Substance Abuse Professional (SAP)
June 15 2014
This continuing education module meets the requirements of 49 CFR P ART 40281 (d)
The module included a documentable assessment tool as required by 49 CFR PART 40281(d)(2)
Course Approvals
EACC 12 PDHs in Domain II (SSSPONLN13-G85)
NASW 12 CEUs (Provider 886476155)
NBCC 12 hours (Provider 6304)
LeeMauk SAPlistcom Administrator
wwwsaplistcom
For verification or questiOns please call SAPlistcom (612) 827-4147 or e-mail toContinuingEdSAPlistcom