MEMHCA

The Maine Mental Health Counselors Association

Thank you for your decision to join MEMHCA! 

Annual Membership Fees:

Licensed Clinical Professional: $60   
Student: $30    
Retired counselors: $30

Please complete this page, print (right click) and mail with your check to :


MEMHCA
PO Box 2563
Waterville, ME 04903


Join MEMHCA

​​​​​Membership Application


Name ______________________


Please idenify your credential


_LCPC

_LCPC-C

​_LPC

_Student  

_Other _______________________


License #: ____________________


Email: _______________________


Phone: _______________________


Mailing Address _________________


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