Join MCCA Online

This is a three-step registration.

Part one: Fill out the Membership form below.

Your Information: (all fields required)
First Name
Middle Initial
Last Name
Street Address
City, State, Zip
Phone
Email
Professional Information:
Place of Employment
Street Address
City, State, Zip
Work Phone
Cell Phone
Work Email
Fax
Work Setting
Your Website
Are you a member of AMHCA? Yes No We encourage counselors to join the American Mental Health Counselors America (AMHCA), which includes membership in MCCA because there is a unified dues agreement that provides a 20% discount ($44.00 savings) for professional members. To join both go to www.amhca.org/join or Call 1-800-326-2642 x103 or send an email to lmorano@amcha.org for more information.
Certification Information:
University or college where you obtained your degree
List degrees you have
List Licenses/Certifications & numbers you hold
Is your license or certification present under review?	Yes No
Types of Membership: (View Descriptions)
*Student Applicants Must Complete the Following:
University or college where you obtained your degree
Degree you plan to obtain
Year you plan to graduate