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Add Member

Add a New Listing to Our Directory

Complete this form to request your listing in our “Find a Therapist” Directory.

This form is for Parnell Institute Members only.  

Create Member Listing

"*" indicates required fields

Your name full name, as you'd like it to appear in the directory. (Do not include any credentials such as LCSW or PhD; they will be added below.)
Used for sorting by name.
Member Category*
Select all that apply.
Credential
The credential(s) you choose here will appear on your profile.
If your credential is not listed, you may request a new credential to be added to the list of options for all Therapists.
The location information you want site visitors to see, e.g. West Los Angeles and Sherman Oaks.
YOU CAN ONLY LIST ONE LOCATION. WE DO NOT SUPPORT MULTIPLE LOCATIONS. The specific street, city, state, country that we can use for geocoding your location and placing you on a map. Please be as specific as you are comfortable disclosing. If you don't provide a specific address, your map location will be at the geographic center of whatever location you provide.
All phone numbers should include the country code. (USA is +1)
Enter full website address, including https://
Enter the 4-digit year in which you began your practice.
EMDR Status
Specialties
If your specialty is not listed, you may request a new specialty to be added to the list of options for all Therapists.
Populations Served
If the population you serve is not listed, you may request a new population to be added to the list of options for all Therapists.
Languages
If a language you speak fluently is not listed, you may request a new language to be added to the list of options for all Therapists.
Add a paragraph or two introducing yourself to prospective clients. There's no need to repeat information that's included above. Upload your headshot as the Featured Image (below).
Please upload a headshot, 300px * 300px or larger. Square images display best.
Accepted file types: jpg, jpeg, png, gif, Max. file size: 2 MB.
Email Address (for internal use only)*
We will use this information to contact you if there are any problems with your entry. Your email address will NOT be displayed in the directory.
This field is for validation purposes and should be left unchanged.

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