Last Name, (Rev.) First Name
(picture)
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Location:
Physical address or (Address available upon request) City/State | In-Person / Zoom / Skype / FaceTime / Telephone
Contact:
Phone Number | Email | Website
Training:
Program Name w/hyper link (Year)
Supervision:
Type of supervision and frequency
Payment Notes:
UU Wellspring:
Venmo, Zelle, PayPal, Square, Check
Amount
Approved (Year)
Spiritual Direction Philosophy:
Max 3 para?
Created/Updated : Date - Initials