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Minnesota Board of Behavioral Health and Therapy LPC & PCC Change of Name and Address Form All licensees are required to notify the Minnesota Board of Behavioral Health and Therapy within 30 days
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The nameaddresschange formlpc516 is a form used to request a change in name or address for a specific purpose.
Individuals or entities who need to update their name or address information are required to file nameaddresschange formlpc516.
To fill out nameaddresschange formlpc516, you need to provide your current name or address information and the updated details.
The purpose of nameaddresschange formlpc516 is to ensure accurate record-keeping and communication with the relevant parties.
The information reported on nameaddresschange formlpc516 includes the current name or address details and the requested changes.
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