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Psychotherapist

Brooklyn, NY, United States of America

Full-Time

Social worker, therapist, psychotherapist, mental health

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First Name(s) *

Last Name *

Email Address *

Mobile Phone Number *

License Type *

License Number *

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License State *

NPI

Have you been convicted of a felony? *

Yes

Are you authorized to work in the United States? *

Yes

Will you require visa sponsorship?

Yes

I agree to have a minimum caseload of 10 clients per week *

Yes

Available Start Date *

Briefly describe why you are applying for this position *

Certification *

I certify that information in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of independent contractor agreement at any point in the future if I am hired. I authorize the verification of any or all information listed above.

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