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Therapist
Center
Therapist accounts are reviewed before activation. You'll receive an email notification upon approval.
Personal Information
Full Name
*
City / Country
*
Main Specialization
*
Years of Experience
*
WhatsApp Number
(optional)
Professional Information
Do you have a practice license?
*
Yes
No
License Number
(optional)
Current Professional Status
*
At a center
Freelance
Both
Website or Professional Profile
(optional)
Brief Bio
(optional)
Your center registration will be reviewed by our team. You'll receive an email notification upon approval.
Center Information
Center Name
*
Founded Year
*
Contact Person
Director / Representative Name
*
City / Country
*
WhatsApp Number
(optional)
Professional Details
Is the center officially registered?
*
Yes, registered
No
In progress
License / Accreditation Number
(optional)
Number of Therapists
*
1 – 5
6 – 15
16+
Website or Social Page
(optional)
Additional Notes
(optional)
Account Credentials
Email Address
*
Password
*
At least 8 characters
Contains a letter (A–Z)
Contains a number (0–9)
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