Membership Application

Select An Option

Affiliate $150 Annually

Non-LPC, Masters-level professional licensed in another profession.

Clinical $150 Annually

Licensed as a Licensed Professional Counselor (LPC)

Clinical Supervisor $150 Annually

Licensed as a Licensed Professional Counselor (LPC) and has the CPCS Credential

Associate $75 Annually

License-eligible or Licensed Associate Professional Counselor (LAPC) Already Graduated, working towards licensure

Retired $35 Annually

Neither holding nor seeking employment as a Counselor. Does not have clients or supervisees.

Student $35 Annually

Enrolled in a graduate Level MH program, is NOT applying for licensure, is NOT licensed, and does not have clients.

Prospect

Free account solely for the purpose of having access to post jobs, advertise office space, register for workshops and any other non-member exclusive services.

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Lobbyist Accountant etc. NameBusiness Name

Please select a valid membership option and fee item if exist