Foundation for addiction and behaviorial health professionals inc

1200 Tices Lane
Suite 104
East Brunswick, NJ 08816
tel: 732-249-1991
fax: 732-249-1559
email us

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Pasquale Sargiotto, Chair
Richard J. Bowe, Executive Director
Certification Board of NJ

Complaint Form

The stated goals of the Foundation are to support the development of alcohol and other drug professionals, as well as educational development and promote quality practice, primarily for counselors working in the addiction field.

Therefore, in an effort to resolve disputes, misunderstandings and correct any misinformation or miscommunication, the Foundation is offering this complaint form to help resolve problems. Please take your time in completing this form in its entirety, stating the facts or problems, as you see them, and the Foundation will respond within a few working days with a resolution to the problem. The Foundation takes its responsibility to the addiction counselors of the State of New Jersey very seriously and will try to resolve your problem to the satisfaction of all concerned.


All items in the form below are required, in order to respond or correct your problem.

Date (MM-DD-YYYY):
Name:
Phone Number:
Email:
Your Facts regarding
this complaint: