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LPC Supervision
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Tiffany A. Derrick

MA, LPC-S, ICPS

Therapy Services Texas, LLC

LPC Supervision Application

LPC Supervision Application

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Last name

Email

Phone

Link to Resume

Link to BHEC Forms

References

Reference #1 First and Last Name

Reference #1 Email

Reference #2 First and Last Name

Reference #2 Email

Reference #3 First and Last Name

Reference #3 Email

Thank you! We’ll be in touch.

If you are experiencing a medical crisis, please call 911 or go to an emergency room.

You can also contact the National Suicide Prevention Hotline.

Call/text 988 or visit 988lifeline.org

(Available 24/7 in English and Spanish)

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