Have an account? Sign in Contact Information Contact Information Contact Email Please enter the email address where all contact form requests will be sent. Practice Information Practice Information Your Name or Practice Name Most people put their name and license credentials. You can also use your practice name. Example: Carol Park, LPC, RD, LD Physical Location (optional) You can put a full address if you have an office location or just put a city/state or leave blank if you work everywhere. Your State/Region Australia Brazil Canada Italy Spain Turkey United Kingdom United States Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington DC West Virginia Wisconsin Wyoming This should be the state or region (country) you are licensed or working in. You can choose multiple. Pricing Information Pricing Information Cost of Services (optional) How much do you charge for your sessions or services? Example: Initial - $150, Ongoing - $100 Accept Insurance? (optional) Yes No If you accept insurance, please click yes. If not, click no. Insurance Companies Accepted (optional) List all insurance companies you accept separated by a comma. Example: Cigna, UnitedHealthcare, Medicare Listing Information Listing Information Professional Category Addiction Specialist Art Therapist Certified Clinical Anxiety Treatment Professional Certified Sex Therapist Certified Trauma Specialist Clinical Hypnotherapist Coach Consultant Counselor Board Certified Pastoral Counselor Dietitian Distance Credentialed Counselor General Dentistry Marriage & Family Therapist Maternal Mental Health Specialist Mental Health Specialist Mental Health Therapist Nurse Practitioner Occupational Therapist Physical Therapist Play Therapist Primary Health Care Psychiatrist Psychologist Psychotherapist Psychotherapy Practice Sexologist Social Worker Speech Therapist You can select one or more categories that you fit in. The first one selected is the primary category. You will also come up in all others. Your Specialties/Areas of Expertise (optional) Acceptance and Commitment Therapy Acute and Chronic Medical Conditions Addictions/Recovery ADHD/ADD Adolescents African American Anger Management Anxiety Assessment Autism Spectrum Disorder Bipolar Disorder Borderline Personality Disorder Chronic Illness & Disability Clinical Hypnosis Clinical Supervision Codependecy Cognitive Behavioral Therapy (CBT) College Students Compassion Fatigue & Burnout Coping Skills Couples/Marriage Depression Diabetes Divorce Eating Disorders EMDR Erectile Dysfunction Family Forensic Psychology Gender and sexual diversity Grief Immigrant and Refugee Mental Health Indigenous & First Nations & Native Americans Infertility Intimacy & Sexual Health LGBTQIA Life Transitions Men's Issues & Health Metabolic Syndrome Military Related Issues Mindfulness Motivation & Goal Achievement Narcissism Obesity Obsessive Compulsive Disorder (OCD) Parenting Pastors Phobias Post-Traumatic Stress Disorder Postpartum Depression Relationships Schizophrenia Self-Esteem Sexual Abuse Sexual Addiction Social Justice/Search for Meaning Spirituality/Faith Sport Performance and Biofeedback Stress Trauma/Abuse Wellness of Musculoskeletal System Women's Issues & Health Work Issues/Performance Select one or more areas of expertise. You will be listed in all of them for client searches. Personal Statement Use this space to type a personal statement about what you do, your practice, and what you want clients to know about you. 200+ words is ideal! Header Image (optional) This should be a high resolution image that you like. It will go up top on your page. If you don't put one here, we'll select one for you. Personal Photo (optional) This is an image of you or your practice logo or both! All good listings have an image of you on it so people can connect. License Information License Information License State 1 (optional) License Number 1 (optional) License State 2 (optional) License Number 2 (optional) Company Details Your Website (optional) If you have a website, please enter the URL here. Phone Number (optional) Your business phone number. Not required. Video (optional) Display a video on your Listing Twitter URL (optional) Facebook URL (optional) Google+ URL (optional) Pinterest URL (optional) LinkedIn URL (optional) GitHub URL (optional) Instagram URL (optional)
