For MCNY Team Members

Team Bio Submission

Complete this form to create your professional profile for the MCNY website. Your information will be reviewed before being published.

What would you like to do?

I am a...

Personal Information

Full Name *

Preferred Name

Pronouns

License Type *

License Number & State *

Years of Experience *

Education & Training

Highest Degree Earned *

Year of Graduation

Institutions Attended *

Additional Certifications or Specialized Training

Clinical Focus

Areas of Specialization *

Populations Served *

Treatment Modalities Used *

Languages Spoken

Your Story

What is your philosophy or approach to counseling? What do you find most rewarding about being a therapist? *

What inspired you to become a therapist?

Hobbies or interests outside of work

Fun Fact About You

Professional Photo

Upload a high-quality headshot

JPG, PNG, or WebP. Ideally a portrait/headshot orientation.

Your submission will be reviewed by the MCNY team before being published. By submitting, you consent to having your information displayed on the MCNY website.