Live CE Training Certificate

Name:

First NameLast Name

Credentials:

License number:

First Name:

Full Name:

Email:

Certificate will be sent to this email address.

Title of CE training completed:

CE Training presenter:

Type of CE training:

Number of CE Hours:

Date of CE Training:

Date of Completion:

Enter the date(s)* your training took place:

*If your training took place over multiple days, list all dates (e.g., January 1, 2, 3, 2025). If it spanned multiple months, start a new line for each month.

Staff Email:

Certificate of Completion

Deep Eddy Psychotherapy, LLC hereby awards

{fullName}

for completing the following Continuing Education training:

{titleOf}

by {ceTraining60}

Training presented on: {enterThe}

CE Credits: {hours} Hours

Type of CE Credit: {typeOf}

Deep Eddy Psychotherapy Management, LLC is approved by the American Psychological Association to sponsor continuing education for psychologists. Deep Eddy Psychology maintains responsibility for this program and its contents.

Deep Eddy Psychotherapy Management, LLC also provides CE credits for social workers (provider #7082), LPCs (sponsor #2690), and LMFTs (Sponsor # 1113).

Deep Eddy Psychotherapy Management, LLC Representative:

Program Administrator

By initialing below, I confirm that I was present with my camera on for the entirety of the live presentation.

Live CE Training Certificate

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