Perinatal Support Washington

Thank you for applying to be on our provider list. In order to be listed you must meet the following requirements
* 12 CEUs in Perinatal Mental Health (5 for non mental health professionals)
* 2 years in practice
* Up to date and licensed in your field (associate licenses do not meet this requirement)
(If you are working towards these requirements, you are welcome to complete this application and we will keep your info on file.)
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    Personal Information

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    Practice Information

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    Requirements to remain on our provider lists:

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