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Psychological Services of Alaska Chris Reynolds, PSD 3003 Minnesota Drive, #204 Anchorage, AK 99503 www.reynoldstherapy.comCredit Card Recurring Payment Authorization Form * Here's How Recurring Payments

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Contact info - psychological refers to the information required to be submitted that details an individual's psychological services and contacts, including their credentials and professional affiliations.

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Information that must be reported includes the professional's name, license number, contact details, and educational qualifications, as well as any disciplinary actions or ethical violations.

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