Licensed Professional Counselor Participation Agreement Sample Contracts

BLUE CROSS BLUE SHIELD OF MICHIGAN LICENSED PROFESSIONAL COUNSELOR TRADITIONAL PARTICIPATION AGREEMENT

Licensed Professional Counselor Participation Agreement • July 27th, 2015 • Michigan

• Contract Type
  Licensed Professional Counselor Participation Agreement
• Filed
  July 27th, 2015
• Jurisdiction
  Michigan

THIS AGREEMENT is made by and between Blue Cross Blue Shield of Michigan a Michigan nonprofit healthcare corporation, (“BCBSM”) and the undersigned Licensed Professional Counselor, who is licensed or legally authorized to practice in Michigan ("Provider").