Thank you for your interest in joining Jax Therapy Network.
- Listing Title Field: Enter your First and Last Name, followed by your license abbreviation.
e.g. Joe Smith, LMHC or Betty Jones, PhD
- Address/Listing Locations:
- Users WITH physical locations in Florida or Georgia: use “Listing Locations” section at bottom of the form.
- Users with physical location other than Florida or Georgia: Use “Address (via Telehealth)” in “Contact Information” section.
Returning user? Please Log in or register in this submission form.