Add your Listing

Add Your Listing

Complete the form below to appear in the OACES Supervisor Registry.

For the Supervision Model/Theory and Supervision Population Specialties please refer to the “What Does it all Mean?” page

First Name
Last Name
Pronouns
License Type
License Number
Additional Licenses	Please enter both the license type then “:” followed by the associated number. Separate multiple licenses with a comma “,”
Languages Spoken
Credentials Supervised	Credentials Supervised LPC LMFT
Supervision Training	Supervision Training Yes No Supervision Training (30 clock hours or approved by OR board?)
Clinical Orientation
Supervision Theory/Model	Supervision Theory/Model Critical Theory & Decolonized Pedagogy Developmental Models (e.g. IDM) Discrimination Model (Teacher – Consultant – Counselor) Ecological & Systems Theory Evidence-Based Humanistic & Person-Centered Multicultural & Social Justice Post-Modern & Narrative Psychodynamic & Attachment-Based Relational-Cultural Theory (RCT) Systems Approach Please select no more than 5 theories/models
Supervisor Population Specialties	Supervisor Population Specialties Asian & Indigenous Pacific Islander Clients Black / African American Clients Children & Adolescents Chronic Illness & Disability Geriatric & Older Adults Immigrant & Refugee & First Generation Clients Kink & Nontraditional Relationships LGBTQIA+ Military & Veterans Native & Indigenous Clients Neurodivergence Rural Populations Substance Use & Co-occurring Disorders Trauma & Dissociative Disorders Suicidality & Nonsuicidal Self-injurious Behaviors Please select no more than 5 specialties
Bio
States You Supervise In	States You Supervise In AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Supervision Format	Supervision Format In-Person Telehealth
Supervision Type	Supervision Type Individual Triadic Group
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