Verification Of Licensure

For multiple verifications and e-check payments, please access below.

Required fields are denoted by this symbol:

Licensee First Name

Licensee Last Name

LPC Board License Number

Licensee Employer Name

Recipient's Name

Recipient's Email

Recipient's Mailing Address

Additional Document

Payment

Card Type

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip Pattern: 12345 You must enter a valid Zipcode.

Card Number

Expiration Date

Security Code

Verification Fee:

$15

Credit Card Processing Fee:

TOTAL:

$18