PSI Therapist Directory
Please fill in this form to be listed on the PSI Therapist Directory site. Note: If you've not yet moved on to Part C of the training, then we will hold on to your information and include it on the website once you have resumed your training.
Name
*
First Name
Last Name
Location
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Licensed Mental Health Provider
*
Yes
No
Type of license
*
PSIP Certification (Current):
Currently a Student Completing the Apprentice Training (select if you've NOT YET completed Part C: Supervision)
Level 2 Certificate of Mastery (select if you've completed Parts A, B, C, and D of the Apprentice Training, and have done at least 6 Individual Supervisions)
Level 2 Certificate of Completion (select if you've completed Parts A, B, and C of the Apprentice Training)
Level 1 Certificate of Mastery (for graduates who did the old Group Training Model and went on to shadow/observe a PSI Faculty during an Apprentice Training)
Level 1 Certificate of Completion (for graduates who did the old Group Training Model + Supervision)
Bio (1000 signs maximum)
*
0/1000
E-mail
*
Phone
-
Country code
-
Regional code
Phone number
Website
*
Upload picture
*
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