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David Ellis - Professional Disclosure
Statement
- Highest Degree : Educational Specialist in Counselor Education, University of Bridgeport, 30 Graduate hours beyond a Masters Degree in Counseling. Awarded 8/27/80
- Degree : Masters of Arts Degree in Counseling, awarded December 17, 1976
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David Ellis - Relevant Credentials / Licenses
- Licensed Clinical Addiction Specialist (LCAS) - NC License Number 1484 - Valid 07/23/2009 - 07/01/2011
- Licensed Alcohol and Drug Counselor - License Number 000102 - State of Connecticut - Current through 06/30/09
- Licensed Professional Counselor - License Number 001381 - State of Connecticut - Current through 06/30/09
- Professional Educator - School Counselor - Valid 08/02/2000 to 08/01/2010 - Connecticut Department of Education
- Professional Educator - Intermediate Administrator - Valid 07/10/2001 to 07/09/2009 - Connecticut Department of Education
- Certified Substance Abuse Counselor North Carolina. Issue Date is 11/14/2008 Expiration Date 7/1 2010
- Licensed School Counselor - State of North Carolina
- North Carolina Licensed Professional Counselor - Valid 6/30/06 to 6/30/2009
- National Certified Counselor - 6/1/2006 to 6/30/2009
- Substance Abuse Professional - 4/1/2009 to 4/1/2012
- Certified Substance Abuse Counselor for Connecticut
- Clinically approved alcohol and drug supervisor for Connecticut (Certified Clinical Supervisor)
- International Reciprocity for Certified Substance Abuse Counselor and Clinical Supervisor
- Selected for Who's Who Among America's Teachers in the 2005 and 2006 edition
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David Ellis - More information
- Counseling sessions I provide last 60 minutes in length
- Payment is expected when services are rendered and you are ultimately responsible for therapy fees. Normal fee is $100.00 per hour.
- Method of payment is by check or cash.
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DSM-IV-TR will be utilized in the determination of client diagnosis.
- Comprehensive Medical, Psychological, Social and Behavioral History will also be used in client diagnosis.
- Diagnosis and other relevant client history will become part of the client's permanent record.
- Federal State Confidentiality rules will be followed.
- No disclosure of records or other information concerning clients will take place.
- Exceptions to Rules of Disclosure :
- Written Consent of Client
- Internal Program Communications
- Medical Emergency
- Court Ordered Disclosures
- Crime on Premises or against Personnel
- Research / Child Abuse/ Harm to self (client) & others
- Informed Consent - Clients will recieve a full explanation of treatment services and confidentiality regulations at the time of treatment.
- Confidentiality is a principal that protects, as in a contract, the information shared in a counseling session.
A favorite quote of mine...
“The battles that count aren’t the ones for
gold medals. The struggles within yourself … that’s where it’s at.”
-Jesse Owens