Formal Education: Southern New Hampshire University 05/12-09/15 Manchester, New Hampshire Master of Science Clinical Mental Health Counseling

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1 Vermont Board of Allied Mental Health Practitioners Licensed Clinical Mental Health Counselor Disclosure for: Glenn Bomberger, LCMHC, LADC Updated 3/06/2018 Formal Education: Southern New Hampshire University 05/12-09/15 Manchester, New Hampshire Master of Science Clinical Mental Health Counseling Union Institute & University 01/10 04/11 Cincinnati, Ohio Bachelor of Arts Psychology & Human Development Community College of Vermont 09/07-01/08 Burlington, Vermont Certificate Substance Abuse Services Christian Life School of Theology Columbus, Georgia Bachelor of Theology Credentials Licensed Clinical Mental Health Counselor VT License # exp. 01/31/2019 Licensed Alcohol and Drug Abuse Counselor VT License # exp. 01/31/2019 Professional Organization Memberships National Association for Addiction Professionals Vermont Addictions Professionals Association Association for Contextual Behavior Science Experience: Central Vermont Substance Abuse Services 10/16 10/17 Berlin, Vermont Outpatient Substance Abuse Services Intensive Outpatient Program (IOP) Clinician Second Spring 03/15 06/16 Westford, Vermont Residential Services for Persistent and Severely Mentally Ill Persons Clinical Case Manager Page 1 of 5

2 Northlands Job Corp 05/14 03/15 Vergennes, Vermont Federally funded training program for economically disadvantaged youth ages 16 to 24. Substance Abuse Counselor Part Time No Clinical Supervision Maple Leaf Treatment Center 09/07 03/14 Underhill, Vermont Residential Substance Abuse Treatment Services Case Manager Scope of Practice: Therapeutic Orientation: Client centered. Specialization: Substance Abuse Treatment Methods: Acceptance and Commitment Therapy (ACT), Cognitive Behavior Therapy (CBT), Rational Emotive Therapy (REBT), Motivational Interviewing, Client centered, Group and Individual Therapy Training and Continuing Education Training Title: Ethics Dates: 02/06/2018 Location: White River Jct., Vermont Trainer/Training Institution: Heather Gagnon MSW, LICSW, LADC Subject/Content: Ethics for Mental Health and Substance Abuse Counseling Training Title: ACT Bootcamp Dates: 11/9/2017 to 11/12/2017 Location: Nashua, New Hampshire Trainer/Training Institution: Praxis Continuing Education and Training, Inc. Subject/Content: Training in fundamental concepts of Acceptance and Commitment Therapy (ACT) Credential Awarded (if any): 34 Continuing Education Units Training Title: Poverty and Economic Inequality Dates: 08/24/2017 Location: Fairlee, Vermont Trainer/Training Institution: Equity Solutions: Angela Berkfield, Kendra Colburn, & Deb Witkus Subject/Content: Poverty and Economic Inequality Credential Awarded (if any): 3 Continuing Education Units Training Title: Ethical Issues in the Treatment of Co-occurring Dates: 02/17/17 Trainer/Training Institution: Catherine Burns, Ph.D., Licensed Psychologist Doctorate Subject/Content: Ethical Issues in the Treatment of Co-occurring Page 2 of 5

3 Training Title: Working with Mandated Clients Dates: 01/27/17 Trainer/Training Institution: Heather Gagnon, MSW, LICSW, LADC Subject/Content: Working with clients legally mandated to receive services Training Title: New Innovations: Opioid Treatment Buprenorphine Dates: 06/15/16 06/21/16 Location: Independent Study Course Trainer/Training Institution: NAADAC Subject/Content: Medication Assisted Treatment using Buprenorphine Credential Awarded (if any): 12 Continuing Education Units Training Title: New Directions in the Treatment of Psychosis Dates: 06/10/16 Location: Howard Center, Burlington, Vermont Trainer/Training Institution: Sandra Steingard, M.D. and Daniel Baslock, LICSW, LADC Subject/Content: Open dialogue and use of psychotropic medications Training Title: Harm Reduction Dates: 04/14/16 Trainer/Training Institution: Catherine Iacuzzi, PsyD Subject/Content: Substance abuse harm reduction Training Title: The Assessment & Treatment of OCD, Panic Disorder, Social Phobia & Co-Occurring Dates: 01/15/16 Trainer/Training Institution: Joe Lasek, M.D, Daniel Baslock, LICSW, AAP Subject/Content: Assessment & Treatment of OCD, Panic Disorder, Social Phobia & Co-Occurring Training Title: Neurobiology of Trauma with Addictions Dates: 11/6/15 Trainer/Training Institution: Anthony Quintillini Ph.D., LADC Subject/Content: Neuroscience of Addiction and Trauma Training Title: WRAP Facilitator Training Dates: 10/28/15 10/2/15 Location: Brattleboro, Vermont Trainer/Training Institution: Copeland Center Subject/Content: Wellness Recovery Action Plan (WRAP) training Credential Awarded (if any): Certified WRAP Facilitator Page 3 of 5

4 Training Title: 2015 Adult Mental Health Conference: Promoting Health, Wellness and Recovery Dates: 10/6/15 Location: Lake Morey Resort Fairlee, Vermont Trainer/Training Institution: Vermont Department of Health Subject/Content: Treatment of Adult Mental Illness Credential Awarded (if any): 5.5 Continuing Education Units Training Title: Real-World DBT: Adapting Dialectical Behavior Therapy to Fit Your Practice Dates: 08/25/15 Trainer/Training Institution: Stephanie Vaughn, PsyD Subject/Content: DBT training Credential Awarded (if any): 7.5 Continuing Education Units Training Title: Ethics and Mental Health Law in the Treatment of Individuals with Co-Occurring Dates: 4/17/15 Trainer/Training Institution: Catherine Burns, Ph.D. and Sheryl Bellman, LCMHC, LADC Subject/Content: Mental Health and Addictions Treatment Ethics Training Title: Double Jeopardy: Substance Abuse & Mental Health Conditions Intervention and Treatment Dates: 4/9/15 Trainer/Training Institution: Trudee Ettlinger, Ph.D., APRN, LADC,CCS Subject/Content: Treatment of Co-Occurring Conditions Training Title: There Ain t No Magic Pill: The Evaluation and Treatment of Insomnia Dates: 3/20/15 Trainer/Training Institution: Joe Lasek, M.D. Subject/Content: Understanding myths and science of sleep Page 4 of 5

5 Vermont Secretary of State Office of Professional Regulations Board of Allied Mental Health Practitioners Title 26: Professions and Occupations Chapter 65: Clinical Mental Health Counselors Unprofessional conduct (a) Unprofessional conduct means the following conduct and conduct set forth in section 129a of Title 3: (1) using dishonest or misleading advertising; (2) misusing a title in professional activity; (3) conduct which evidences unfitness to practice clinical mental health counseling; (4) engaging in any sexual conduct with a client, or with the immediate family member of (5) a client, with whom the licensee has had a professional relationship within the previous five years; (6) harassing, intimidating, or abusing a client; (7) entering into an additional relationship with a client, supervisee, research participant or student that might impair the licensed clinical mental health counselor's objectivity or otherwise interfere with the clinical mental health counselor's professional obligations; (8) independently practicing outside or beyond a clinical mental health counselor's area of training, experience or competence without appropriate supervision. (b) After hearing, and upon a finding of unprofessional conduct, the board may take disciplinary action against a licensed clinical mental health counselor or applicant. (Added 1987, No. 245 (Adj. Sess.), 1; amended 1993, No. 98, 17; 1993, No. 222 (Adj. Sess.), 10; 1997, No. 40, 57; 1997, No. 145 (Adj. Sess.), 53; 2007, No. 29, 45.) For more information regarding Professional Conduct please see Page 5 of 5