Change of Address:

In order to update your home and/or work address and/or phone number, please complete the information update form.

Click here to complete the information update form

You may submit the completed form by mail, fax, or by e-mail. The mailing address is:

Oklahoma State Department of Health
Protective Health Services
Professional Counselor Licensing
1000 NE 10th Street.
Oklahoma City, Ok 73117

To submit by fax, the fax number is (405) 271-1918.

You may e-mail your request to Carolyn Martin at carolynkm@health.ok.gov