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Most states require practitioners to have extensive training (often 2,000 to 3,000 hours) and pass standardized exams from bodies like the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM).

While the FDA sets federal rules, individual states determine who exactly is a "qualified practitioner". buy acupuncture needles without license

Engaging in acupuncture or advertising as a practitioner without a license is a criminal offense in many jurisdictions (e.g., a Class 1 misdemeanor in North Carolina). Most states require practitioners to have extensive training