EMDRGKC Therapist Directory Data Collection Survey 2025

Thank you for your interest in being added to the EMDR Network of Greater Kansas City (EMDRGKC) Therapist Directory. Please provide the following information and then email a professional photo (optional) to EMDRGKC@gmail.com.
1.FIRST and LAST NAME(Required.)
2.PRACTICE / ORGANIZATION NAME
3.WEBSITE ADDRESS, EMAIL ADDRESS, and/or PHONE NUMBER (include only what you want listed in the directory)(Required.)
4.STREEET ADDRESS, CITY, STATE, and ZIP CODE (if more than one location, include all here)(Required.)
5.DEGREE and/or LICENSE(Required.)
6.EMDR THERAPIST CREDENTIALS-choose highest achieved(Required.)
7.POPULATION(S) SERVED
8.IN-NETWORK INSURANCE COMPANIES
9.IN-NETWORK EMPLOYEE ASSISTANCE PROGRAMS
10.Please provide a description of your practice using no more than 250 characters. (optional)