David Ellis – Education & Professional Disclosure Statement
- Educational Specialist in Counselor Education, University of Bridgeport, 30 credits beyond a Masters Degree in Counseling Awarded 8/27/1980
- Masters of Arts in Counseling Awarded December 17, 1976 Pepperdine University
- Masters of Education, Awarded March 1979, Antioch University
Relevant Credentials / Licenses
- Licensed Professional Counselor NC License # 4832
- Licensed Professional Counselor Supervisor NC License # S4832
- Certified Clinical Supervisor Certificate NC #496
- Licensed Clinical Addiction Specialist NC #1484
- Licensed School Counselor NC Standard Professional 11
- Certified Substance Abuse Counselor NC Certificate #2316
- Licensed Professional Counselor for CT #1381
- International Reciprocity for Clinical Supervision for Certified Substance Abuse Counselors IC@RC Certification #602930
- National Certified Counselor Certification #210586
- Master Addiction Counselor Certification #507392 (NAADAC)
- Substance Abuse Professional Certification #13341 (NAADAC)
DSM-V 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 receive 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.