First Name * Last Name * Professional Title(s)e.g. LMFT, RN, L.Ac., etc. Contact EmailThis is your public-facing email (i.e. for potential clients) Phone number WebsiteBe sure to include the https:// Profession * Certified Eating Disorders Recovery Coach Dietitian Medical Doctor Psychiatrist Psychotherapist Treatment Program Accepted Insurance Aetna Anthem Blue Cross Blue Shield of California Cigna Healthnet Humana Kaiser Permanente Magellan Optum United Healthcare Value Options Oscars Out of Network Valley *If you have multiple locations, choose the valley where you have your primary location. Conejo ValleyEastside/DowntownSan Fernando ValleySan Gabriel ValleySanta Clarita ValleySimi ValleyWestsideTelehealth Only Telehealth Offered? Yes Location InfoEnter your location address here. For virtual practices, leave blank. You may add multiple locations. Location 1 Add Location in box below About * Photo *We recommend your profile picture be cropped to a square. Must be at least 300px tall with a square or vertical composition. Social MediaDo you have any social media profiles? Enter your handles/usernames here to generate links. Facebook Username Twitter Handle Instagram Handle LinkedIn Profile Name Validate Email
