Professional Disclosure Statement
Dale V. Wayman
1255 Kenilworth Avenue
Coshocton , OH 43812
Phone: 740.295.6297
email: dale@drwayman.com
Licensed Professional Clinical Counselor, Supervising Counselor #E3247
Licensed Social Worker #S21038
EDUCATION
The Ohio University - PhD - 1999
Western Washington University - MS - 1989
Southern Nazarene University - BS - 1985
AREAS OF COMPETENCE
Career counseling, assessment, child and adolescent counseling, personal counseling, marriage counseling, family counseling, pastoral counseling, mental health counseling, chemical dependency counseling, addictions counseling, mediation, consultation, supervision, administration, independent diagnosis and treatment of mental and emotional disorders, and training supervision to individuals seeking licensure as professional clinical counselors and work supervision to Professional Counselors.
Subpoena fee is $500 (plus hourly rate and expenses)
This information is required by the Counselor, Social Worker and Marriage & Family Therapist Board which regulates all licensed and registered counselors, social workers and marriage and family therapists.
The State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board
50 West Broad Street, Suite 1075
Columbus, OH 43215-5919
Counselor Inquiry - 614.466.6462
Social Worker Inquiry - 614.466.5465
Complaints/Investigators - 614.728.7791
Web Site - http://cswmft.ohio.gov
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