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Practice Name - if applicable

Website

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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

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Have a great day!

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