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Get the free LPC- INTERN SUPERVISOR/SITE CHANGE REQUEST. Applications and Forms

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Date Approved: TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS INTERN SUPERVISOR/SITE CHANGE REQUEST Only one site/supervisor change per Comintern Name: License # Mailing Address: City:
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lpc- intern supervisorsite change is a form that allows LPC interns to update their supervision site information.
LPC interns are required to file lpc- intern supervisorsite change when they change their supervision site.
To fill out lpc- intern supervisorsite change, LPC interns must provide the updated supervision site information on the form and submit it to the appropriate licensing board.
The purpose of lpc- intern supervisorsite change is to ensure that LPC interns are receiving appropriate supervision at an approved site.
LPC interns must report the name and contact information of the new supervision site, as well as the name of the new supervisor.
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