Membership Checkout

Membership Information

You have selected the Professional Membership membership level.

Membership for professionals with at least 2+ years of post-masters experience.

The price for membership is $100.00 per Year.

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First and Last Name

Licensure Status

Are you an approved LCPT supervisor?

Are you an approved supervisor for another licensure?

Are you currently supervised? If so, list your supervisor name and licensure.

If you are a student, please share which college/university you are currently attending and which program

ex: Belmont University PhD in Mental Health Counseling

Organization/Company Name

Work Address (if you'd like if published on the TNAPT website)

Website

Professional Email

Professional Phone

Please list your denominational/spiritual affiliation(s), if applicable.

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