Provider Registry Page

Dear Providers,

This Therapist Directory is designed to be the link between people in need of help and the local professionals available to assist them. We are providing this FREE referral list to our clients across the country. Build your local practice online, by becoming listed on our comprehensive Therapist Directory!

Our Directory is used in adjunct to our chat consulting service after which clients are referred to our provider list for therapy. When indicated, we would like to tell clients about your practice once our consultation is complete. Clients may view the Directory via this website 24 hours a day to find helpful professionals in their area.

Please fill out the following information about your practice.

Contact Information
First Name
Last Name
Business Name
Qualifications
Address
City
State
Zip Code
Country
Phone Number
Fax Number
E-mail
Therapies
Specialties
General Comments
* Magnolia Counseling is a non-profit organization.
Employee Identification Number: 95-4690001