Applications/Forms
Licensee List Request - $10
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Change of Name Instructions/Form (pdf) - Legal document required
Applications for Licensure
- Check Your Application Status Online
- Credentialing Information for Professional Counselors (LPC) and Marriage and Family Therapists (LMFT)
Paper Applications
MFT Associate
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Application Packet - LMFT and Associate
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List of Supervisors - LMFT
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LMFT Confirmation of Clinical Supervision of Post-Master's Client Contact
- Associate Supervision Log
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Supervision Guidelines for Licensure of Professional Counselors and Marriage & Family Therapists
MFT by Endorsement
MFT by Endorsement Supervisor
MFT Supervisor
MFT Associate to LMFT a Licensed Marriage and Family Therapist Application
- Application
- Associate Supervision Log
- LMFT Confirmation of Clinical Supervision of Post-Master's Client Contact
Associate License Extension
LPC Associate
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Application Packet - LPC and Associate
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List of Supervisors - LPC
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LPC Confirmation of Clinical Supervision of Post-Master's Client Contact
- Associate Supervision Log
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Policy Statement for Supervision of Licensed Professional Counselors Associates
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Supervision Guidelines for Licensure of Professional Counselors and Marriage & Family Therapists
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LPC Plan for Clinical Supervision of Post-Master's Clinical Experience in Professional Counseling
LPC by Endorsement
LPC by Endorsement Supervisor
LPC Supervisor
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List of Supervisors - LPC
LPC Associate to a Licensed Professional Counselor
- Application
- Associate Supervision Log
- LPC Confirmation of Clinical Supervision of Post-Master's Client Contact
Associate License Extension
LAC Associate
LAC by Endorsement
LAC by Endorsement Supervisor
LAC Supervisor
LAC Associate to a Licensed Addiction Counselor
Associate License Extension