Life Directions- Counseling in Frederick, MD - EAP Network Development Requests

EA Momentum Comprehensive Services Ž

EAP Specific Primary Source Verification

On-Going EAP Network Development

Network EAP Provider and Insurance Matching

Continuous Quality, Continuity of Care

Thank you for your Network Development Request!
You will soon be hearing from a representative from our Development Team.

EAP Company Name:
Network Development ID:
Development Response Needed By:

Requesting EAP Counselor Name:
Requestor Email Address:
Additional Emails Included:
Development City:
Development State:
Development Request Zip Codes:
Distance Willing to Travel:

Range of Acceptable Fees:
Providers Gender:

Resume Requested:

Malpractice Insurance Requested:

Fax Number Request:
Health Care Insurance Match Requested:

If yes, Health Care Company Name:
Language Preferences:
Providers that Should or Should NOT be Considered:
Additional Development Information:
Requesting Date and Time:
Requestors Time Zone:

Security code:
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Experience With:

Life Change and Transition
Deployment
Re-intergration of Civilian and Service Families
Occupational Trauma
Depression
Anxiety
Self Injury
Anger Management
Threats of Violence
Domestic Violence
Workplace Violence
Obessive Complusive Disorder
Attention Deficit Disorder
Attention Deficit Hyperactivity Disorder
Bi-Polar Disorder
Pre-Marital Counseling
Partnership Counseling
Gay & Lesbian Issues
Transgender Issues
Trust/Communication
Couples Counseling
Infertility
Adoption
Parenting
Death of Child
Grief and Loss
Trauma Reprocessing
Career Evaluation or Re-Evaluation
Spirituality Exploration, Guidance,& Development
Body Dysmorphic Disorder
General Medical Conditions exacerbating Mental Health Issues

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http://www.lifedirections.net/
501 Highland Street
Frederick, MD 21701
Phone: 301-668-1689
Fax: 301-668-1910
Email: lifedirections@yahoo.com