Registration Form

Plan Of Care Training

12/350/2014 Thru 12/351/2014

-EVENT LOCATION-
San Fernando Valley Community Mental Health
16360 Roscoe Blvd 2nd Floor
North Hills CA 91406

Contact Info:
Mark Riddle (310) 466-1269
latconline@gmail.com

ADDITIONAL INFO:
Enter office complex with large MGA Entertainment sign. Training is in the far east building of the office complex. You may park in any unmarked parking spot.

All training modules start promptly. Please allow for traffic conditions when planning trip.

Lunch is NOT provided.

 

Trainee Information

Name Of Trainee:
Position of Trainee:
Email Address of Trainee:
Agency:
Service Provider Area (SPA):
*For LA County Agencies Only
Program Manager's Name:
Program Manager's Phone:
Program Manager's Email:

Class Information

Date Location Cost
Dec 350, 2014 9am-4pm
&
Dec 351, 2014 9am-4pm

San Fernando Valley Community Mental Health
16360 Roscoe Blvd 2nd Floor
North Hills CA 91406

Contact Info:
Mark Riddle (310) 466-1269
latconline@gmail.com

 $250





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