Department of Health
John J. Dreyzehner, MD, MPH, Commissioner
Professional Counselors and Marital and Family Therapist
Applications
Applications
- Application for License as a Professional Counselor and Application for Mental Health Service Provider Designation and Application for Temporary License as a Professional Counselor with MHSP Designation (PH-2722)
- Application for License as a Marital and Family Therapist (PH-2723)
- Application for License as a Clinical Pastoral Therapist (PH-3596)
- Application for Mental Health Service Provider Designation (PH-3533)
- Reinstatement Application (PH-2481)
- Name and Address Change Request (PH-3619)
- Affidavit of Retirement From Practice in Tennessee (PH-3460)
- Mandatory Practitioner Profile
Questionnaire for Licensed Health Care
Providers (PH-3585)
Noteworthy
Noteworthy
Governor Bill Haslam
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