Virtual Behavioral Health Therapist - New Hampshire License Preferred at Iris Telehealth for Providers

First Name *

Last Name

Email *

Phone *

Resume *

Do you have a valid independent LICSW, LCMHC, and/or LPC in New Hampshire? *

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 LICSW, LCMHC, and/or LPC license (e.g., MM/YYYY): *

Which patient age groups are you willing to provide care for in a clinical setting? (select all that apply) *

Are you aligned with the shared compensation for this role? *

Please list the state(s) in which you have an active, independent LICSW, LCMHC, and/or LPC license. *

Are you currently employed or affiliated with an organization that is utilizing Iris Telehealth services? If so, please share the organizations name *

Were you referred to this position? If so, please share who referred you.

See all the jobs at Iris Telehealth for Providers here: http://irishealthclinical.recruiterbox.com/jobs

Application Form