Thank you for your decision to join MEMHCA!
Annual Membership Fees:
Licensed Clinical Professional: $60
Student: $30
Retired counselors: $30
Please print and complete this page and mail it with your check to:
MEMHCA
PO Box 2563
Waterville, ME 04903
Join Us!
Membership Application
MEMHCA
Maine Mental Health Counselors Association
Name ______________________
Please identify your credential
_LCPC
_LCPC-C
_LPC
_Student
_Other _______________________
License #: ____________________
Email: _______________________
Phone: _______________________
Mailing Address _________________
Please rate in order of importance to you.
(1 = Least 5 = Most)
_ Conference/Workshop Discounts
_ Legislative Updates
_ Professional News Blasts
_ Job Openings
_ Volunteering
By submitting this application, I attest that my license is in good standing and am in compliance of AMHCA ethical guidelines.
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