Jake Wiskerchen, PresidentNEVADA STATE BOARD OF EXAMINERS FORP.O. Box 370130
John Nixon, Ed. D., Vice PresidentMARRIAGE & FAMILY THERAPISTS AND             Las Vegas, Nevada 89137
Roberta Vande Voort, Secretary/TreasurerCLINICAL PROFESSIONAL COUNSELORSOffice: (702) 486-7388
Barry Blackburn, MemberCLINICAL PROFESSIONAL COUNSELORSOffice: (702) 486-7388
Hal Taylor, J.D., MemberFax: (702) 486-7258
Steven Nicholas, Member
Marta Wilson, Member
Adrienne O'Neal, Member

These forms are electronic with online payment.
If you prefer to pay by check or mail-in, please select: New Application   Renewal Application



Please select form:
Application
Marriage and Family Therapist
Clinical Professional Counselor Application
MFT-Internship
CPC-Internship


Renewal for 2019
Marriage and Family Therapist
Clinical Professional Counselor


ADA Agency Logo
To report ADA issues please use the links below:
Website & Digital Media Accomodation Complaint Form
Physical Accommodation Complaint Form
For support please click here to visit the Board's website.