Division of Student Affairs > Support Services > Counseling > DePaul UCS Referred Provider Survey

DePaul UCS Referred Provider Survey

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Clinician Contact Information:

*Please note the image should be Png, Jpeg or Gif with 255 px width, 300 px height and size is not over 2 MB.


Contact Person for Referrals to Practice:


Clinician Type:


Clinician Degree:













Clinician License:


Practice Type:


Availability:


Health Insurance:


Fee Structure:


Specializations:











































Clinican Demographics:

 



















Client Fit:















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