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New Counselor Form

Full Name
e.g., John Doe, PhD, LCPC
Include when you are available to see clients.
Provide brief introductory comments for clients about your approach to counseling (see staff examples at centrepointecounseling.org/our-staff). This may be edited for length and tone.
Colleges or programs you attended, special certifications, professional groups etc.
Make a list separated by commas: ie. anxiety, depression, adolescents, etc., AND include states where you are licensed other than MD.
Include whom you see AND don't see, e.g., adults only, teens aged 13+ year old, couples/no couples, families, children/no children younger than 10 years old, etc.
Office Location
Please choose all that apply. If you are new counselor and your location is not listed, please email hkim@centrepointecounseling.org to have it added. All counselors will have "Telehealth" selected.