Get the free Abney LPCIntern, LMFTA Supervised by: Brianne Blevins LPCS, LMFTS

Katie B. Anna Painter, LEFT Supervised by: Brianna Blevins PCs, LIFTS ! Intake Form Today's Date: ! Name Home Phone ! Address Work Phone ! City Zip Occupation/Employer ! Your age Date of Birth Email

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7. List any professional affiliations or memberships you hold in related organizations. This can include organizations specific to counseling or therapy fields.
8. Attach any required supporting documentation, such as academic transcripts or letters of recommendation.
9. Review the completed application form thoroughly to ensure all information is accurate and complete. Make any necessary corrections before submitting it.
10. Submit the filled-out application form and any required fees to the licensing board according to their specified method.

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