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This depends on the state the patient is in. Most states require the therapist to be licensed in the state the patient is in, but there are exceptions.

For instance, many states allow an out-of-state licensed therapist (via telehealth or otherwise) to practice in their state for a limited period of time, typically 20 days.

During covid, many states (and the federal government) temporarily lifted restrictions on therapists operating in states they aren't licensed in as well. I don't know how many, if any, of those states have put the restrictions back in place.

And there are often different rules about when a patient has an established relationship with a licensed therapist but moves out of state.

To really know, you need to check with your own state's licensing department.




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