Michigan Counseling Association

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Michigan Counseling Association 120 North Washington Square, Suite 110 A Lansing, MI 48933 1.800.444.2014 COUNSELOR SUPERVISION INFORMATION General Information & Disclaimer Individuals meeting counselor supervision requirements are eligible to be listed on MCA s Web site. Disclaimer: The MCA provides this list as a service to the profession. MCA neither endorses nor guarantees the credentials of anyone on this list. It is up to the potential supervisee to confirm the supervisor s credential who provides supervision. Please refer to the state law statute for information regarding the law concerning the qualifications of a supervisor. An annual fee of $100.00 is charged to individuals posting their information. The fee is waived for MCA Members in good standing. I. Michigan Counseling Association: Membership Status I am a Member II. Personal Details Title Mr. Gender M Education Masters First Name Heath Last Name Green Address 3415 Ballard Rd. City State Zip Benzonia, MI 49616 County Benzie/Grand Traverse Email greenh@mbcmh.org Phone Number 231.233.0719 Fax Number III. License Information x LPC LLPC CAC NCC CAAC IV. Specialty Emotional Concerns x Anger x Anxiety/Fear/Panic x x Depression/Bi-Polar x Loss/Grief Relational Concerns Blended Families Communication Friends/Other Parenting x Partner Sexual Problems Stressful Situations Abuse/Neglect E Addiction/Substance Abuse x Anger Management x Attention Deficit/Hyperactivity Chronic/Terminal Illness x Eating Financial x Gambling Infertility Role or Age Sleep Disturbance Victim of Crime

Page 2: Green, Heath Specialty - continued Other Academic Adoption/Foster Care Career/Work x Health x Impulse Control Obsessive/Compulsive Sexual Orientation Spirituality x Suicide Co-occuring mental health and substance abuse I. Client Focus Age Specialization Child Adolescent x Adult Elder Setting x Individual x Group x Couple Multicultural Experience Extensive x(w/ extensive traing) Limited Client Gender x Male x Female Transgender Client Sexual Orientation yes Gay, Lesbian, Bisexual, Transgender yes Heterosexual Religious Orientation of your Clients x Any Buddhism Christian Islam Jewish LDS/Mormon I. Supervision Training Received training to satisfy standards of supervision according to the laws in the state of Michigan. Yes

Michigan Counseling Association 120 North Washington Square, Suite 110 A Lansing, MI 48933 1.800.444.2014 COUNSELOR SUPERVISION INFORMATION General Information & Disclaimer Individuals meeting counselor supervision requirements are eligible to be listed on MCA s Web site. Disclaimer: The MCA provides this list as a service to the profession. MCA neither endorses nor guarantees the credentials of anyone on this list. It is up to the potential supervisee to confirm the supervisor s credential who provides supervision. Please refer to the state law statute for information regarding the law concerning the qualifications of a supervisor. An annual fee of $100.00 is charged to individuals posting their information. The fee is waived for MCA Members in good standing. I. Michigan Counseling Association: Membership Status II. Personal Details Title Gender Education First Name Address City State Zip Email Phone Number III. License Information LPC LLPC CAC NCC Last Name Fax Number County IV. Specialty Emotional Concerns Anger Anxiety/Fear/Panic Depression/Bi-Polar Loss/Grief Relational Concerns Blended Families Communication Friends/Other Parenting Partner Sexual Problems Stressful Situations Abuse/Neglect Addiction/Substance Abuse Anger Management Attention Deficit/Hyperactivity Chronic/Terminal Illness Eating Financial Gambling Infertility Role or Age Sleep Disturbance Victim of Crime

Page 2:, Specialty - continued Other Academic Adoption/Foster Care Career/Work Health Impulse Control Obsessive/Compulsive Sexual Orientation Spirituality Suicide I. Client Focus Age Specialization Child Adolescent Adult Elder Setting Individual Group Couple Multicultural Experience Extensive Limited Client Gender Male Female Transgender Client Sexual Orientation Gay, Lesbian, Bisexual, Transgender Heterosexual Religious Orientation of your Clients Any Buddhism Christian Islam Jewish LDS/Mormon I. Supervision Training Received training to satisfy standards of supervision according to the laws in the state of Michigan.

Michigan Counseling Association 120 North Washington Square, Suite 110 A Lansing, MI 48933 1.800.444.2014 COUNSELOR SUPERVISION INFORMATION General Information & Disclaimer Individuals meeting counselor supervision requirements are eligible to be listed on MCA s Web site. Disclaimer: The MCA provides this list as a service to the profession. MCA neither endorses nor guarantees the credentials of anyone on this list. It is up to the potential supervisee to confirm the supervisor s credential who provides supervision. Please refer to the state law statute for information regarding the law concerning the qualifications of a supervisor. An annual fee of $100.00 is charged to individuals posting their information. The fee is waived for MCA Members in good standing. I. Michigan Counseling Association: Membership Status II. Personal Details Title Gender Education First Name Address City State Zip Email Phone Number III. License Information LPC LLPC CAC NCC Last Name Fax Number County IV. Specialty Emotional Concerns Anger Anxiety/Fear/Panic Depression/Bi-Polar Loss/Grief Relational Concerns Blended Families Communication Friends/Other Parenting Partner Sexual Problems Stressful Situations Abuse/Neglect Addiction/Substance Abuse Anger Management Attention Deficit/Hyperactivity Chronic/Terminal Illness Eating Financial Gambling Infertility Role or Age Sleep Disturbance Victim of Crime

Page 2:, Specialty - continued Other Academic Adoption/Foster Care Career/Work Health Impulse Control Obsessive/Compulsive Sexual Orientation Spirituality Suicide I. Client Focus Age Specialization Child Adolescent Adult Elder Setting Individual Group Couple Multicultural Experience Extensive Limited Client Gender Male Female Transgender Client Sexual Orientation Gay, Lesbian, Bisexual, Transgender Heterosexual Religious Orientation of your Clients Any Buddhism Christian Islam Jewish LDS/Mormon I. Supervision Training Received training to satisfy standards of supervision according to the laws in the state of Michigan.

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