Become A Certified Tobacco Treatment Specialist

With 30 or more hours, this curriculum will provide education on evidence-based clinical interventions for the treatment of tobacco dependence and prepares health care or related professionals to become certified in the treatment of tobacco dependence.

Upcoming Class:

Now Introducing Open Enrollment! Sign up at any time!

Enrollment fee of $1,000

Need Tobacco related continuing education hours (CE’s)?

We are offering Motivational Interviewing (MI) skills for CE credit.  This is ideal for those who would like to freshen up their MI skills or simply review their MI technique.  The cost is $175.00 to receive 5.5 CEs towards your CTTS recertification.

Please email: to register for continuing education only.

Nationally Accredited CTTTP Program

The Breathing Association is one of only 22 nationally accredited programs and the only program in Ohio.

100% Self-Paced Online

Students have thirty days to complete the 17 different learning modules; affording them enough time to work at their own pace.

Continuing Education Credits Available

Up to 30 or more Continuing education credits are available for respiratory therapists, nurses, counselors and social workers.

Continuing Professional Development

This nursing continuing professional development activity was approved by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91).

Resources Provided

Participants receive access to all course materials and resources.

Course Curriculum

  • Tobacco Dependence Knowledge and Education
  • Pharmacotherapies for Tobacco Addictions
  • Smokeless Tobacco and Environmental Tobacco Smoke
  • Counseling Skills and Motivational Interviewing
  • Diversity and Specific Health Issues with Women
  • Assessment Interviewing
  • Treatment Planning
  • Conducting Group Sessions
  • Relapse Prevention
  • Diversity and Cultural Issues
  • Diversity: Tobacco and Mental Health or Substance Use Disorder
  • Documentation
  • Law and Ethics
  • Professional Resources & Professional Development
  • Brand new content:
    • Emerging Issues with E-Cigarette Use
    • Tobacco Dependence Treatment for Women
    • LGBTQ+ Smoking Cessation: Culturally Competent Care


Thomas Houston, MD

Gretchen Clark Hammond, PhD

Chizimuzo (Zim) Okoli, PhD

Bruce Barcelo, MS, CTTS

Dorienna Alfred, PhD

RJ Sontag, MD


Open enrollment

Fee: $1,000


Renew your CTTS Certification:

Your CTTS certification must be renewed every two years from the time of your initial certification. Recertification requires confirmation of 18 CEU credit hours obtained within the last two years. The fee is $100. Please click on the recertification button below to complete your application. Once you complete the application, please email it to, or fax it to 614-437-1506.

If you prefer, you may send it via U.S. Postal mail to: The Breathing Association, CTTS Program, 741 East Broad Street, Columbus, Ohio 43205.

CTTS Recertification


Certified  Tobacco Treatment Specialists, or CTTSs, are professionals who are specially trained to provide treatment for individuals seeking to stop using tobacco.

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Accredited status means that The Breathing Association program was thoroughly reviewed by a multidisciplinary panel of international experts who agree that this program meets the standards put forth by industry experts in your country.