First Name *

Last Name *

Email *

Phone *

License #

Practice Location (or online) *

Practice Name - if applicable

Website

Upload your preferred Profile Pic(s) and/or Video here

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

temp-for-141191-file2-1_

The Basics *

Accepting new clients? Y/N. Accept Insurance (if yes, list carriers). Describe your: Session fee/rate, Is there a free consultation? Do you offer virtual sessions, in person only, both?

Any professional references you wish to add.

Personal Statement: Perhaps answer "why are you a therapist?" or "What do you love about MI?"

Clinical Services Provided (be concise)

Therapeutic Approach

Credentials

Anything else you'd like to add? Fields you leave blank will not appear on your live profile.

You may also email us with any questions/changes you have: admin@directoryonlinesvc.com or use the CONTACT US page

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Please fill out your Profile Info

If you run into any problems with the form, you may reach us at the Contact Us page or: admin@directoryonlinesvc.com

Your cart is empty

Sterling Heights Therapists & Counselors | MiTherapists

Samia Ahmed — Behavior Analyst — Therapist — Sterling Heights, MI