Report Non-Affirming Mental Health Providers, Schools, Instructors or Training Programs Report Type*Mental Health ProviderPrivate PracticeAcademic ProgramHealth ClinicAcademic InstructorTraining CourseProvider Information* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Credential Instructor Information* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Credential School / Program Name*Private Practice / Clinic Name*Course Provider & Course Name*Provider / Program / Clinic Address Information* City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Provider / Program Website Show Entry on TransKit? Yes, display my entry on this website.
