Remote Outpatient Therapist (LCSW / LMFT / LPCC) – California at Iris Telehealth for Providers

First Name *

Last Name

Email *

Phone *

Resume *

Do you have a valid independent LCSW, LMFT, and/or LPCC license in California? *

Do you reside in California? (This is a mandatory requirement for this position) *

Have you passed the ASWB, NCW, and/or NCMHCE examination to gain clinical licensure? This is a mandatory requirement. *

Please enter the month and year you obtained your independent LCSW, LMFT, and/or LPCC license (e.g., MM/YYYY): *

Please list the state(s) in which you have an active, independent LCSW, LMFT, and/or LPCC license. *

Application Form