Expert 1:1 Care

English-Language Individual Therapy for Every County in Liberia.

Individual therapy in Liberia typically means a road trip to Monrovia and a queue at the country's only dedicated psychiatric facility, E.S. Grant Mental Health Hospital in Congo Town, or the psychiatric unit at JFK Medical Center in Sinkor. Grouport offers something different: weekly one-on-one therapy in Liberia over HIPAA-compliant video, matched to a licensed clinician who stays with you week after week. Sessions run $103 each, billed at $448 per month, in English, and start the same week you complete intake. No shared taxi from Paynesville to Sinkor through Red Light traffic, no three-month wait at the public psychiatric service, no cash-quoted fee at a Monrovia front desk. Just a private 45-minute session with your own therapist, from wherever in the country you happen to be logging in.

Greeting

The State of Mental Health in Liberia.

Understanding the landscape of mental health care access and the challenges
residents face.

Mental Illness Prevalence

16.3% of Liberian adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

12 weeks the average wait to secure a first mental health appointment in Liberia's public system, an interval during which symptoms often deepen.

Median Household Income

$3,531 median household income in Liberia, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

90.0% of Liberian adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

83% of Liberia's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

8.35 per 100,000 mental health workers in Liberia, a density that shapes availability, wait times, and access across the country.

The numbers on the cards above tell a consistent story: 8.35 mental health clinicians per 100,000 residents nationally, roughly 90% of adults with a diagnosable condition receiving no formal specialist care, a 12-week average wait to reach a first public-sector appointment, and a GNI per capita PPP of $1,740 sitting well below regional averages. For a Liberian professional weighing whether to pursue help, those numbers describe a system that is neither fast, nor local, nor affordable at private cash rates. Weekly one-on-one online therapy is the model that fits: a licensed clinician on HIPAA-compliant video, matched right after intake, priced transparently in USD well below the global one-on-one range, working with the same client week over week from any county capital in the country.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in Liberia.

The Problem

Liberia's specialist mental health infrastructure is, in practical terms, one hospital and one hospital unit: E.S. Grant Mental Health Hospital in Congo Town, Montserrado County, and the psychiatric service at John F. Kennedy Medical Center in Sinkor, Monrovia. The country's Mental Health Policy and Strategic Plan has for years flagged the acute shortage of psychiatrists, a national workforce density of 8.35 per 100,000 that, once concentration around the capital is accounted for, leaves most of the fifteen counties with no resident specialist. For someone based in Voinjama in Lofa, Harper in Maryland, or Zwedru in Grand Gedeh, the nearest psychiatrist sits at the end of a road journey that in the rainy season can stretch to two full days.

The Impact

Twelve weeks of waiting is not an abstraction for a working adult in Liberia. It is a full quarter of insomnia, a full quarter of tension in a marriage, a full quarter of trying to hold together a job at a concession, at a bank on Broad Street, at an NGO office, or with the UN Mission while symptoms deepen. For a schoolteacher in Gbarnga or a nurse in Buchanan the calculation is even harder, because the wait sits on top of a full day of travel and a night in Monrovia just to reach the first appointment. Most people simply defer. Grouport removes both frictions in one move: a licensed clinician, matched right after a short intake, in a private one-on-one session this week, held from home, at $103 per session with predictable monthly billing in USD.

The Solution

Online individual therapy loosens the two constraints that dominate mental health access here: the sheer scarcity of clinicians, and the concentration of what does exist inside Montserrado County. Rather than joining a twelve-week queue for one of the country's few specialists, a Liberia resident is matched to a licensed Grouport therapist and starts a weekly one-on-one video session within days. The one-on-one format is what makes the work sustainable across a full course of care: 45 minutes each week, entirely focused on your history, your patterns, your goals, with the same clinician the whole way through. That week-over-week continuity is precisely what an overstretched E.S. Grant or JFK psychiatric service cannot reliably offer even to patients who finally reach a first appointment. Nothing is shared. The hour is yours.

83% of Liberia's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Three frictions loosen at once. First, the twelve-week wait for a public-sector first appointment collapses to a same-week start, because Grouport matches you to a licensed therapist right after intake and books the first one-on-one session within days. Second, geography stops mattering. With 8.35 clinicians per 100,000 residents nationally and most of that roster inside Montserrado, a client in Voinjama, Zwedru, or Harper otherwise faces a multi-day road journey to reach a psychiatrist, whereas a stable Lonestar Cell MTN or Orange Liberia connection now supports weekly video from every county capital. Third, sessions run in English, Liberia's official working language and school-system medium, so there is no translation layer and no need to search Monrovia for a licensed English-speaking clinician with real availability.

Access and Availability Across Liberia.

Liberia's formal mental health care runs through a small handful of channels. The public system centres on E.S. Grant Mental Health Hospital in Congo Town and the psychiatric service at JFK Medical Center in Sinkor, both in Greater Monrovia and both operating well beyond capacity. Private practice is a modest circuit of clinics in Sinkor, Mamba Point, and Congo Town billing out-of-pocket in a mix of Liberian and US dollars. NGO and university-linked services fill scattered gaps, and employers with international coverage occasionally provide an EAP benefit. What is missing across the whole map is a reliable, immediate-start, English-language weekly one-on-one option that a resident anywhere in the country can actually book this week. Grouport is built to be that option, at $103 per session with a licensed clinician on HIPAA-compliant video.

Geographic Barriers

Liberia runs roughly 570 kilometres along the Atlantic coast, and specialist mental health coverage thins sharply the moment you leave Montserrado. A resident of Harper in Maryland County who wants to sit with a psychiatrist in Monrovia is looking at a coastal Route 1 journey through Buchanan and Greenville that can stretch past a full day in the dry season and is regularly cut by washouts between June and October. Voinjama in Lofa, Zwedru in Grand Gedeh, and Barclayville in Grand Kru are in a similar position. Even inside Greater Monrovia, a cross-city trip from Paynesville or Congo Town to a Sinkor clinic during Red Light morning traffic can burn half a working day each way. Grouport erases that footprint entirely. A working data connection through Lonestar Cell MTN or Orange Liberia is enough to hold a weekly one-on-one session with a licensed therapist from any county capital.

Extended Wait Times

The 12-week wait quoted for a first specialist appointment reflects real practice at E.S. Grant Mental Health Hospital and the psychiatric unit at JFK Medical Center. In the South-Eastern counties of River Gee, Grand Kru, Sinoe, and Maryland, that wait is effectively indeterminate, because no resident psychiatrist is stationed there and outreach from Monrovia is episodic. For someone working through insomnia, a bereavement, a hard employment transition, or a stretch of low mood, three months is often the interval in which the effort to seek help is quietly abandoned. Instead of waiting twelve weeks, Liberia clients can be in their first Grouport session within days of completing intake, with a licensed therapist who will hold the same weekly slot for the whole course of care.

Systemic Challenges

Liberia does not operate a universal health insurance scheme that meaningfully covers mental health services, and the National Mental Health Policy has for years flagged workforce and medication supply shortfalls at the public psychiatric services. Private clinics in Sinkor, Mamba Point, and Congo Town price at the front desk in a mix of Liberian and US dollars, with real variation between practices and no published rate. Stigma remains a factor as well: mental illness is often first framed in spiritual terms, and many families consult traditional or faith healers before a formal provider. Grouport sidesteps the whole configuration. Care is delivered by a licensed clinician over HIPAA-compliant video at a transparent USD subscription of $448 per month for weekly sessions or $224 per month every other week, entirely private, with no clinic waiting room and no cash desk.

Urban-Rural Divide

About 55.5% of Liberians live in urban areas, and that share is heavily concentrated in Greater Monrovia. The remaining 44.5%, spread across Lofa, Nimba, Grand Bassa, Bong, Grand Cape Mount, Gbarpolu, and the four South-Eastern counties, lives well beyond routine reach of a psychiatrist or clinical psychologist. Inside the capital itself, the divide is finer but real: households in Paynesville, New Kru Town, and West Point face very different practical access to a Sinkor clinic than a resident of Mamba Point does. Online one-on-one therapy flattens the map. The same licensed Grouport clinician runs the same weekly 45-minute session whether a client is logging in from a Sinkor apartment, a house in Kakata, a compound in Voinjama, or a family home outside Harper.

Grouport fits the actual shape of individual therapy demand in Liberia. Licensed clinicians, matched right after intake, meeting one-on-one with the same person week after week over HIPAA-compliant video, priced transparently in USD at $103 per session weekly ($448 per month) or $224 per month for every-other-week ($224 per month). No twelve-week queue at E.S. Grant or JFK Medical Center, no cash-quoted fee at a Sinkor clinic front desk, no cross-country road journey to keep an appointment. English is already the working language, so nothing about the sessions requires translation. What Grouport adds is what the domestic system has never been resourced to deliver at scale: a sustained one-on-one relationship with a licensed therapist, reachable from any county capital in Liberia, that a working adult can afford across a full course of care.

Affordable Individual Therapy Costs for Liberia Residents.

Liberia residents get immediate access to Individual Therapy at $103 per session (billed at $448 per month), 50 to 60 percent below the global average of $150 to $250 per session for one-on-one work with a licensed clinician. Sessions are 45 minutes, held weekly with the same therapist over HIPAA-compliant video, and priced transparently in USD rather than the cash-quoted mix of Liberian and US dollars typical at Monrovia private clinics. A lighter every-other-week cadence is available at $224 per month for clients who want to spread work across a longer arc. Nothing is negotiated at the front desk, and nothing changes between billing cycles.

Affordability and Income

Measured against Liberia's GNI per capita PPP of roughly $1,740, $448 per month is a real commitment; the honest answer is that Grouport is built to fit clients paid in USD or on international payroll, diaspora returnees, expats posted with UN and NGO missions, staff at concessions and international banks, and Liberian professionals whose compensation is at least partly dollarised. Against the alternative, though, the number holds up. A single hour with a licensed clinician in a Sinkor or Mamba Point private practice is typically quoted at, or above, the international private market, and it is billed session by session with no committed cadence. Grouport locks in weekly one-on-one work with a licensed therapist at a fixed monthly USD subscription that sits well below the global average of $150 to $250 per session, cancellable at any time, with no hidden clinic fees or currency-conversion friction between months.

Hidden Cost and Barriers

The invoice at a Monrovia clinic never captures the real cost. A cross-city trip from Paynesville, Congo Town, or New Kru Town to a Sinkor practice through Red Light morning traffic can burn two hours each way in shared taxis and keh-kehs. A journey from Gbarnga on the Ganta-Monrovia highway, from Buchanan, or from Voinjama means road fare, at least one night in the capital, and two or three days of missed income. Residents of the South-East either accept the intermittent domestic flight schedule or a road journey measured in days. On top of that, private-clinic pricing is quoted at the desk in a fluctuating mix of Liberian and US dollars. Grouport strips all of that away: no commute, no lost workdays, no cash-only surprises, no currency-conversion friction, no search for an available licensed English-speaking clinician with a real opening. One predictable monthly rate in USD, cancel anytime.

Immediate Availability

The pricing is transparent, and so is the timing. A Liberia client completes a short intake, is matched to a licensed Grouport therapist, and holds the first weekly one-on-one session within days, not three months. That immediate start is the sharpest contrast with the domestic path, where a first appointment at E.S. Grant Mental Health Hospital or the JFK Medical Center psychiatric unit typically means a twelve-week queue and, in the South-Eastern counties, no clear appointment pathway at all. There is no waitlist to join, no clinic to physically reach, and no cash to hand over at a front desk. For Liberia clients ready to start now, a licensed Grouport therapist is available this week.

How it Works

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We’ll get in touch with you to get brief context to make sure we match you with the therapist that best fits your needs & schedule. (Typically match in 24-72 hours)

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Meet weekly with a licensed mental health professional for 45-minute video sessions. With consistent online therapy services, you can start seeing meaningful results.

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Mental Health Conditions We Treat in

Liberia

Beyond individual therapy, Grouport offers licensed therapists who specialize across the full spectrum of mental health needs and evidence-based approaches. Whatever you're looking for, we have a therapist for your needs.

Meaningful Results

Check out how our online therapy services have helped our members see life-changing results

Stephanie

“Grouport is time flexible and affordable and if it didn’t exist, I don’t know where I would go. I had looked into other places before Grouport and there really wasn’t any option like it.”

Michael

“I highly recommend this to anyone who is struggling with anxiety or depression. The therapists are top notch and have made me feel really comfortable and my anxiety has improved tremendously in only a few sessions!”

Isabel

"I joined Grouport to work on myself and to heal. I’m learning so much at every session! The change I see not only in myself but in my fellow group members is abundantly encouraging and profoundly fulfilling. Group therapy with Grouport is a powerful healing tool."

Sheldon

“I was feeling very down at the end of 2020 and I was ready to do something drastic that I know I'd likely regret. The group definitely helped show me that there are people who feel the same way as I do.”

Nancy

“The therapy from Grouport is high quality and convenient. I am becoming much more self aware and am liking myself more. My relationships at work are better and I’m much happier.”

Emily

“I like the connection you can make with total strangers and the confidentiality it comes with.”

Olivia

“My weekly group helps me get through the week. Best experience ever!”

Danielle

"Grouport can help you with your issues. Their therapists are well trained to work with you on your issues. I felt my anxiety greatly improve after only a few sessions. I highly recommend it!"

Glenn

"Grouport's approach to DBT is a real strength. This approach provides tools and methods for working with difficult emotions and getting a handle on them. It has given me hope where other approaches have failed."

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Meet Our Therapists

Our therapists represent a wide range of clinical specialties & diverse backgrounds. They all undergo the most stringent credentialing process. Grouport therapists are caring, expert mental health professionals with years of experience helping people get the tools they need to see long-lasting change.

Every Grouport clinician working with Liberia-based clients holds a graduate-level clinical license: licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs. Sessions run in English, which is Liberia's official language and the standard medium of instruction, so nothing about the working relationship requires a translation layer. Many of our therapists carry meaningful experience with West African, post-conflict, and diaspora caseloads, including clients navigating the aftermath of the Ebola outbreak, extended overseas postings, and return-migration between the US and Monrovia. Time slots are offered in the evening and on weekends to align with GMT working hours, and clients keep the same therapist week after week to preserve the continuity that Liberia's small in-country specialist workforce cannot deliver at scale. All sessions are HIPAA-compliant and fully confidential.

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Affordable Individual Therapy & Care Options in Liberia.

Group, individual, couples, family, IOP, and teen therapy — all online, all therapist-led. Mix and match care options to fit your needs — and get discounted pricing when you bundle.

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Individual Therapy

$112/session
billed at $448/month

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Group Therapy

$35/session
billed at $140/month

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Partnership

Couples Therapy

$123/session
billed at $492/month

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Family Therapy

$160/session
billed at $640/month

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IOP Therapy

$337/week
billed at $1,348/month

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Teen Therapy

$112/session
billed at $448/month

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Common Questions About Individual Therapy in Liberia.

What if someone walks in during my session?

If someone unexpectedly enters your space during a session you can simply turn off your camera until you have privacy again. Your therapist will understand and wait for you to return. For this reason, we recommend choosing a private location for sessions and if possible using headphones so your conversation isn't overheard.

How do you protect my information from data breaches?

We use multiple layers of security to protect your information: (1) All data is encrypted both when stored and during transmission. (2) Our systems are HIPAA-compliant and regularly audited by third-party security experts. (3) Access to client data is strictly limited to essential staff with multi-factor authentication required. (4) We use intrusion detection systems to monitor for unauthorized access attempts. (5) Regular security training for all staff members. (6) Secure backup systems to prevent data loss. In the unlikely event of a breach, we're legally required to notify affected clients immediately and take corrective action.

Is online therapy as effective as in-person therapy?

Yes, extensive research shows that online therapy is equally effective as in-person therapy for most mental health conditions. Multiple studies published in peer-reviewed journals have found no significant difference in treatment outcomes between online and in-person formats for anxiety, depression, relationship issues, and most other mental health diagnoses or concerns. In some cases, online therapy is even more effective because it eliminates barriers like travel time, scheduling difficulties, and access to specialists that wouldn’t otherwise be easily available. The key factors in therapy effectiveness are the therapeutic relationship, evidence-based techniques, and consistent attendance, which are all present in our online therapy sessions.

Can online individual therapy help with anger management?

Yes, anger management individual sessions are highly effective and are a tremendous help in navigating the ins and out of anger challenges. Group is ideal for anger work because you receive honest feedback about how your anger affects others, you practice managing frustration in real situations, and you learn from others' struggles and successes, and are held accountable by your peers. In addition to general anger management groups, we also find that dialectical behavior therapy (DBT) individual sessions are highly effective for anger as they help with emotion regulation, distress tolerance, mindfulness, and interpersonal skills like lashing out in relationships and rage.

What if I feel like I don't fit in with the group?

Give it some time. Feeling Initial discomfort is normal. If after a couple of sessions you still feel like you’re questioning whether the group is the right fit or not, talk to a care coordinator and they can help you explore what might be best for you. Maybe a different group would be a better fit, or perhaps it's worth sticking with the group to see if it's just taking some time to ease into it, which can happen before you find your rhythm with the group. You can always switch individual sessions at any time in the event you wish to switch to another group, and a care coordinator will work with you to make sure you’re happy with your group fit.

Can I suggest topics for the therapy to discuss?

Yes, individual sessions are driven by member experiences. So definitely bring what’s going on in your life as that can impact the topic of discussion. The therapist facilitates the flow of conversation and what time of group focuses on what, but you and other members bring in what matters to work on and that certainly gets paid attention to and becomes a focus in conversation. By bringing in your own experiences, this makes the group more relevant and enables others to chime in and present skills that could be relevant to that specific situation.

What if I need individual attention that therapy can't provide?

It's super common to do online individual therapy and online individual therapy together. If you feel like individual support is missing, add in individual therapy alongside the group. If you feel like you solely need to focus on individual work, switch to individual therapy if that better meets your needs. It’s really up to what’s best for your needs and treatment plan, and different formats work better based on your needs.

Can I access Grouport if I don't live in the US?

Yes. Grouport serves clients all over the world. We work with people in the UK, Ireland, Canada, Australia, Europe, Middle East, Asia, and elsewhere. As long as you have internet access and can attend sessions during available times, you can use Grouport. We offer session times at all times of the day for both individual and group therapy, so we can get you set up with sessions at times that are convenient for your schedule.

Do you offer therapy in languages other than English?

Many of our therapists are bilingual or they speak other languages, so it's just a matter of the therapist. So, we probably do have a therapist who speaks your native language. However, Grouport primarily offers therapy in English, so if you speak english you’ll definitely be good. Our group sessions are also predominantly done in English. If you're comfortable discussing your emotions and experiences in English, therapy can work well even if it's not your first language and you’re not perfect at it. Ultimately, it's more important to work with a quality therapist who specializes in your needs even if there are some gaps in communication due to language barriers. Let us know what language support you need and we’ll discuss the therapist options we have for you.

What if therapy isn't helping—am I wasting money?

If you've genuinely tried for 12+ sessions and seen zero improvement, it may be a sign that you need a different therapist. Perhaps you need a different approach or different modality. Perhaps you need greater intensiveness combining multiple types of therapy like individual therapy and group therapy, or you need a comprehensive treatment plan that tackles different parts of your symptoms or diagnoses. Before concluding therapy isn't helping, ask yourself. Have you been consistent? Are you practicing skills outside sessions? Have you been honest with your therapist? How does the therapist fit feel? What do you feel like is missing from your care? Discuss lack of progress with your therapist and these different things and they might adjust the approach to better suit your needs. Usually there is a way to get things on a better track whether that's the current therapist adjusting the approach, switching therapists, or adding more sessions or types of care so that your treatment plan is fully addressing everything you need. With therapy overtime and consistent practice you should see progress over time.

As a Liberian, will I feel out of place in a Grouport group made up of members from other countries?

English is Liberia's official language, so Liberians in Monrovia, UN and NGO staff, university students, and diaspora returnees typically move comfortably in international English-speaking spaces. Grouport's weekly video sessions of one-on-one members are led by licensed therapists who guide conversation around shared themes like anxiety, grief, or post-conflict stress, not any single national culture. You bring your own context, and the small format makes it easy to be heard. HIPAA-secure sessions run at $32 each, and you can join right away.

What internet setup do I need in Monrovia or upcountry counties like Nimba or Bong to join a Grouport session?

A standard 4G mobile connection from Orange, Lonestar Cell MTN, or a similar carrier, or home fiber where available in Monrovia, Paynesville, or Ganta, is enough for Grouport's video sessions. Sessions run on HIPAA-secure video that adjusts to your bandwidth, so a laptop, tablet, or smartphone with a camera and headphones works well. Groups of one-on-one meet weekly on GMT-friendly evening schedules, led by licensed therapists at $103 per session, and you can join right away without traveling to E.S. Grant Hospital or waiting 12 weeks for a specialist.

Individual Therapy Available Across Liberia.

Regions

Montserrado, Nimba, Bong, Lofa, Grand Bassa, Margibi, Grand Gedeh, Grand Cape Mount, Sinoe, Bomi, Gbarpolu, Maryland, Grand Kru, River Cess, River Gee

Cities

Monrovia, Paynesville, Gbarnga, Ganta, Buchanan, Kakata, Voinjama, Harper, Zwedru, Greenville, Robertsport, Sanniquellie, Barclayville, Fish Town, Tubmanburg, Bopolu, Cestos City, Congo Town, Sinkor, Mamba Point

Zip Codes

Grouport serves all zip codes across Liberia. If you have an address in Liberia, Grouport can serve you regardless of your zip code.

Online Individual Therapy Available Worldwide

Grouport offers online individual therapy available globally for people in 200+ countries. Find a licensed therapist that fits your needs for weekly one-on-one sessions.

Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Colombia Comoros Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Côte d'Ivoire Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of the Congo Reunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
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