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Collaborating Psychiatrist Role: In lieu of a cover letter, please answer the following questions
What is your educational background?
MD in Psychiatry
DO in Psychiatry
In which state(s) are you actively licensed in? (State licensure)
In which state(s) do you have an active DEA registration and what is the expiration date? (Approx date is fine.)
Are you pending licenses or DEA registrations in any states? If so, which states (specify whether it's a state license or DEA registration) and what is the timeline?
Are you able to dedicate 30min per provider per month (PPPM) for Zoom facilitated supervision?
When would you be available to start?
Why does this role feel like a good fit for you?
How did you learn about Mindbloom and this role?
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