Expert 1:1 Care

Individual Therapy in Peru, Without the 20-Week Wait or Trip to Lima.

In Peru, finding a therapist at all is already a slog: CSM waitlists in the MINSA and EsSalud systems routinely stretch around twelve weeks, more than seventy percent of psychiatrists work out of Lima, and residents in Cusco, Puno, Iquitos, or Arequipa often face a full day of travel just to see a specialist in person. Finding a quality clinician on top of that is harder, and finding one actually trained in the specific approach your situation calls for, whether that is OCD, complex trauma, panic disorder, BPD, depression, ADHD, bipolar, grief, addiction recovery, or the many other things people work through, narrows the field further still. Grouport's online individual therapy is built to close that gap. After a short signup you see clinician options fitted to what you are dealing with, pick the therapist you want to work with, and typically get started within 24 to 72 hours. Weekly 45-minute one-on-one video sessions with the same therapist over secure HIPAA-compliant video, at $103 per session on average ($448 per month), with automatic discounts included for every additional weekly session.

Greeting

The State of Mental Health in Peru.

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

Mental Illness Prevalence

19.0% of Peruvian 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 Peru's public system, an interval during which symptoms often deepen.

Median Household Income

$10,400 median household income in Peru, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

78.0% of Peruvian adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

100% of Peru's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

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

Peru's headline mental health numbers point directly at what an one-on-one online model is built for. A specialist workforce measured at around 0.02 per 100,000 in the WHO specialty category, more than seventy percent of psychiatrists concentrated in Lima, and roughly twelve weeks of wait time in the public system together describe a system where the bottleneck is supply, not need. When supply is thin and geographically concentrated, adding another local queue does not help; adding capacity that reaches every province over video does. Grouport's model, a licensed clinician, a weekly 45 minute HIPAA-compliant video session, and a flat USD subscription, is designed to expand that usable capacity for Peruvian residents in Lima, Arequipa, Cusco, and every province in between.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in Peru.

The Problem

Peru runs a four-track health system - MINSA for the uninsured majority, EsSalud for formal-sector workers, separate schemes for the Fuerzas Armadas and Policia Nacional, and a growing private sector, and mental health sits awkwardly across all of them. Specialist supply is stark: WHO records roughly 0.02 mental health workers per 100,000 in the specialty category it tracks, and more than 70% of Peru's psychiatrists work in Lima, a city holding around a third of the. For a family in Cajamarca, Loreto, or Madre de Dios, the nearest psychiatrist is often a domestic flight and a hotel stay away from home.

The Impact

For a working adult in Peru, the access gap shows up as months of untreated anxiety, low mood, or burnout while a public referral moves through the system, or as a heavy out-of-pocket bill at a private clinic in San Isidro that still may not include a therapist fluent. Twelve weeks of waiting is nearly a full quarter of the year in which sleep, focus, and relationships continue to erode, and travel from a provincial capital to Lima for a single appointment eats an entire workday plus airfare. Grouport removes those frictions by connecting Peruvians directly to a licensed clinician over HIPAA-compliant video within days, at a predictable $103 per weekly session or $224 per month for every-other-week, so care starts when it is needed rather than a season later.

The Solution

Online individual therapy through Grouport works around Peru's two biggest access constraints at once: the wait and the geography. Instead of joining a twelve-week queue at a MINSA facility or a provincial CSM built out under Law 30947, and then hoping the assigned clinician happens to work with your specific issue, you sign up, review therapist options fitted to your situation, and pick the clinician you would like to work with, typically starting within 24 to 72 hours and often holding a first 45-minute session the same week. Because sessions are delivered over secure HIPAA-compliant video, it does not matter whether you are in Miraflores, a district on the northern or southern cone of metropolitan Lima, Arequipa, Trujillo, Cusco, Iquitos, or a smaller provincial capital in the sierra or selva; the same weekly appointment happens with the same licensed clinician either way. That continuity, same therapist, same time, week after week, is what lets real clinical work build, whether that is ERP for OCD, EMDR for trauma, CBT for anxiety, DBT skills, or sustained work on depression, relationship strain, or a hard life transition.

100% of Peru's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Grouport loosens three specific frictions that shape mental health access in Peru. First, the queue: Peruvians routinely wait around twelve weeks for a specialist appointment in the public system, and Grouport replaces that queue with a match right away after intake so a first session can happen the same week. Second, geography: with more than seventy percent of psychiatrists practicing in Lima while the capital holds only about a third of the national population, residents in the sierra and selva regions face many hours of travel to reach a specialist; a licensed Grouport therapist reaches them wherever they have a stable internet connection. Third, continuity: clients work with the same licensed therapist week over week on secure HIPAA-compliant video, without hunting through Lima's small pool of providers for a slot that lasts beyond a first appointment.

Access and Availability Across Peru.

Peru's formal mental health landscape is spread across MINSA facilities for the uninsured majority, EsSalud clinics for formal-sector workers, separate schemes for the military and police, a growing network of Community Mental Health Centers built out under Law 30947, and a private sector concentrated in Lima and other coastal cities. University counseling services, employer assistance programs, and NGO-run clinics fill in some of the gaps, particularly for youth and displaced populations. What most of these channels do not consistently offer is weekly one-on-one care with the same licensed clinician, that can start this week rather than next quarter. Grouport is built to fit exactly that missing slot for Peruvian residents who want private, continuous therapy without navigating multiple referral queues.

Geographic Barriers

Peru's specialist supply is heavily coastal. More than seventy percent of psychiatrists work in Lima, and the remaining share clusters in Arequipa, Trujillo, Piura, and a handful of other coastal capitals, leaving highland departments across the sierra and Amazonian departments across the selva with only a thin scattering of licensed providers. Residents in Puno, Cusco, Ayacucho, Huancavelica, Loreto, Ucayali, and similar regions often face a long overland trip, an internal flight, or both to reach a specialist in person, and the Community Mental Health Center rollout has not yet reached every province at the depth Law 30947 envisions. Grouport removes that geographic constraint by delivering the same weekly session over video, so a client in Iquitos or Puno works with a licensed therapist on the same schedule and at the same $103 rate as one in Lima.

Extended Wait Times

Peruvians seeking mental health care through the public system routinely wait around twelve weeks, and often longer in provincial CSMCs where a single psychologist may cover a wide catchment. Twelve weeks is nearly three months in which anxiety, depression, or grief symptoms compound and daily functioning slips further. Private clinics in Lima can move faster, but only for those able to pay out of pocket at hourly rates and only if a clinician happens to be available at short notice. Instead of waiting three months for a first appointment, Grouport clients in Peru are matched right away after intake and typically hold their first video session within the same week, at $103 per session, with weekly continuity built into the model rather than left to chance.

Systemic Challenges

Peru's mental health system carries several structural strains at once. The specialist workforce is thin, with roughly 0.02 mental health workers per 100,000 population in the specialty category tracked by WHO, and training pipelines have not kept pace with demand created by urbanization, informal-sector work stress, and post-pandemic anxiety and depression. Law 30947 has redirected policy toward community mental health, but implementation is uneven, and out-of-pocket spending remains the norm for anyone seeking a private specialist quickly. Peru is also absorbing more than one and a half million Venezuelan migrants and refugees, which adds pressure on public services already stretched thin. Grouport works around these constraints by operating outside the domestic referral chain: a licensed therapist, weekly HIPAA-compliant video sessions, and a flat USD subscription that stays the same each month.

Urban-Rural Divide

Even within Peru's cities, access is not uniform. In Lima, private specialists cluster in San Isidro, Miraflores, and San Borja, while districts on the northern and southern cones of the metropolitan area rely more heavily on overstretched public clinics. Outside Lima, the drop-off is steep: sierra provinces such as Huancavelica, Apurimac, and Puno, and selva provinces such as Loreto and Madre de Dios, have far fewer licensed clinicians per capita than the coastal average, and Indigenous highland and Amazonian communities also encounter cultural and linguistic barriers to Western care. Grouport does not eliminate those broader structural gaps, but it does equalize one important layer: a client in a rural district with a stable internet connection can book the same licensed therapist, at the same weekly time and the same USD price, as a client in central Lima.

For anyone in Peru ready to start real weekly work with a clinician actually trained for what they are navigating, Grouport is a direct path that does not route through the CSM queue, the EsSalud referral chain, or a hunt for a private psychologist in San Isidro or Miraflores. After a short signup you are presented with therapist options fitted to your specific situation, you choose the clinician you would like to work with, and typically get started within 24 to 72 hours. The first 45-minute one-on-one session typically lands the same week. Pricing is $103 per session on average, billed at $448 per month, or $224 per month on the every-other-week plan, with automatic discounts included for every additional weekly session. The same therapist stays with you across the arc of care, and cadence is flexible: step up during heavier stretches, drop back when things stabilize, or layer in group, couples, family, or an intensive outpatient program alongside individual therapy if that turns out to be useful. A care coordinator is available throughout to help with anything you need, from choosing a therapist to adjusting cadence to adding services as your situation evolves.

Affordable Individual Therapy Costs for Peru Residents.

Grouport gives Peruvian residents immediate access to individual therapy at $103 per session on average (billed at $448 per month), 50 to 60 percent below the global average of $150 to $250 per session for private one-on-one care with a licensed clinician. Clients who prefer a lighter cadence can choose every-other-week sessions (billed at $224 per month). Pricing is flat, transparent, and quoted in US dollars, so there are no per-session surprises or currency-conversion guessing games from one month to the next.

Affordability and Income

Peru's GNI per capita on the Atlas method sits around $7,530 (about $16,840 in PPP terms), which places therapy affordability squarely in the household budgeting conversation for middle-income Peruvian families. Rather than a variable out-of-pocket bill at a private clinic in Lima that shifts with the sol-to-dollar rate, Grouport's monthly subscription in US dollars gives clients one predictable line item to plan around across the full course of care. Weekly clients pay $103 per session on average, billed at $448 per month; every-other-week clients pay $224 per month. That predictability makes it easier for a Peruvian professional or family to commit to the sustained months of consistent work that actually move anxiety, depression, or trauma symptoms in a durable way.

Hidden Cost and Barriers

In-person therapy in Peru carries costs that rarely show up on the invoice. A client in Lima can spend thirty to ninety minutes each way in traffic between their home district and a private clinic in San Isidro or Miraflores, plus a Metropolitano or Metro de Lima fare of S/2.50 each way or an InDrive or Uber run of S/15 to S/40, and a client in a provincial capital may need airfare and a hotel night to reach the coast for an appointment. Per-session private billing in soles varies by clinic and by the exchange rate of the day, which makes budgeting for a full course of care unpredictable. Grouport folds all of that into one predictable USD subscription with no commute, no per-session surprises, no currency-conversion friction, and the option to cancel at any time.

Immediate Availability

Where Peru's public system averages around twelve weeks to a first specialist appointment, and private clinics in Lima still require chasing openings and confirming English fluency, Grouport clients in Peru are matched right away after intake and typically hold their first session within the same week. Weekly sessions with the same licensed therapist are the default from that point forward, which is the cadence that lets therapy actually build. For Peru clients ready to start now, a licensed Grouport therapist is available this week.

How it Works

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Explore Virtual Mental Health Services

With plans tailored to you, it's easy to choose the right mental health care plan. Simply sign up today!

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Personalized match

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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Start Online Therapy

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

Peru

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.

Grouport's clinicians are licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, credentialed through recognized licensing bodies and trained in specific evidence-based approaches such as CBT, DBT, EMDR, ERP for OCD, exposure therapy for panic and phobias, IFS, ACT, and trauma-focused work, so clients end up with a therapist whose training actually matches what they need rather than just the next name on a rota. After a short signup, anyone in Peru reviews clinician options fitted to their specific situation, whether that is OCD, complex trauma, an eating disorder, severe anxiety, major depression, ADHD, bipolar, addiction recovery, grief, or a relationship crisis, and picks the therapist they would like to work with. If the fit is not right after a session or two, a care coordinator can help move the client to another clinician on the bench without restarting the process. All sessions run on secure HIPAA-compliant video and stay fully confidential.

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Affordable Individual Therapy & Care Options in Peru.

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 Peru.

Can I pause my subscription and come back later?

Yes\! You can cancel your subscription at any time and restart when you're ready to return. There's no penalty for pausing, and you can reactivate your account at anytime. When you return, we'll work to match you with your previous therapist if they're available, or find you a new therapist if needed. Many clients take breaks between therapy periods as they practice new skills or experience life changes, then return when they need additional support. Your account remains in our system, making it easy to resume services whenever it's right for you.

Can anyone see my therapy sessions?

No, your online therapy sessions are completely private. The video connection is encrypted end-to-end, meaning only you and your therapist can see and hear the session. Grouport staff don't have access to view your sessions, and the content isn't recorded or monitored. For your privacy, we recommend attending sessions from a private location where you won't be overheard or interrupted. If you live with family or roommates, consider using headphones and choosing times when you have privacy. You're always in control of your camera and microphone and can turn them off if needed.

What happens to my personal information?

Your personal information is stored securely in HIPAA-compliant systems with strict access controls. Only your therapist and necessary administrative staff can access your records, and all access is logged for security. We never sell, share, or use your information for marketing purposes. Your therapy records are maintained according to state and federal regulations. You have the right to request copies of your records at any time, and you can review our detailed privacy policy for complete information about how we handle your data.

Can therapy help with self-esteem?

Yes, therapy can definitely help you address self-esteem challenges. Your therapist will help you identify where the low self esteem is coming from and what are the right approaches whether cognitive, behavioral or psychodynamic in nature to address these recurring feelings that keep on holding you back. Online therapy will help you build genuine confidence over time. It will likely require deep work on your beliefs about yourself and isn’t a simple quick fix. You’ll learn how to identify these unhealthy thought patterns and challenge negative self-talk, so that you can have a healthier perspective on things. Most people notice improvement in their self-esteem within 3-6 months of consistent therapy.

What if I'm worried about being judged in Peru?

This is normal, and many people worry about being judged at first. This fear is likely holding you back and may be even a barrier for you seeking therapy in the first place. Therapists are specifically trained to be non-judgemental and they hear about all kinds of challenges all day long. So rest assured that any adept therapist will meet you with compassion and empathy. You don’t have to open up about everything right away, but you will go at your own pace and build trust over time. Being vulnerable in therapy is one of the many benefits that leads to sustained progress over time rather than keeping everything bottled up, so it's important to have someone you can trust to speak with and that they can provide professional guidance to you to help navigate all kinds of challenging situations.

Can I continue therapy even after I feel better?

Yes, many people continue therapy as part of their wellness routine. You don’t just stop going to the gym after you see results, but it's typically about how can you maintain the consistency to see sustained results over time. Many people continue with ongoing support to prevent relapse and work on personal growth, or to manage chronic conditions. So you can continue therapy for as long as you're benefiting and the duration at which you partake in therapy is totally a personal decision. Your therapy or treatment plan can likely change over time, and the topics that you're focusing on can certainly be different at different junctures. So trust what’s best for you, and if you want your therapist to weigh in on whether you should continue, stop, or do something different they can absolutely be a sounding board to discuss that through with you and help you make an informed decision.

What if I can't afford ongoing therapy?

Grouport's individual therapy at an average of $103/session ($448/month) is already 50-60% below typical individual therapy costs of $150-250/session. Additional affordability options include using HSA/FSA funds for 20-30% tax savings, submitting superbills to insurance for 50-80% reimbursement if you have out-of-network benefits, month-to-month billing with no long-term contracts allows you to attend when finances permit and pause when needed. If you pay quarterly or biannually, that comes with additional savings of 10% or 15% off respectively. Additionally, you can also do bi-weekly sessions for half the cost at $224/month. We also offer online group therapy at an average of $32/session which provides evidence-based treatment at the lowest cost, and our DBT self-guided program offers a one-time payment for lifetime access. We're committed to making quality care accessible. Contact us to discuss options that fit your budget.

Can therapy help with work stress in Peru?

Work culture varies by country. Some countries have intense work demands, limited worker protections, or expectations that harm mental health. Whether you're dealing with burnout, toxic workplace, career pressure, or unemployment stress, therapy addresses work-related mental health impacts regardless of where you live.

What if I'm dealing with poverty or financial stress in Peru?

Financial stress affects mental health everywhere. Therapy helps you cope with the anxiety and depression that come with economic insecurity. If money is tight, group therapy costs less than individual therapy so that might be a great way to affordably access therapy. Through our platform, we want therapy to be accessible.

Does therapy get cheaper the longer you do it?

Monthly rate stays the same. Some clients decrease frequency as they stabilize (weekly to biweekly), which reduces overall monthly cost. But the per-session rate doesn't typically decrease for being a long-term client. If you are paying quarterly or biannually, then there are discounts you get. You might need less intensive therapy as you improve, which will naturally reduce cost.

I'm an expat in Lima or a Peruvian returnee from the US, does Grouport work for me?

Yes. Grouport runs weekly one-on-one video sessions with licensed therapists in English, which suits expats, international-school families in San Isidro or Miraflores, remote workers in Barranco, and Peruvians who studied or lived abroad and prefer processing in English. Peru sits in PET (UTC-5), aligned year-round with US Eastern time, so evening sessions land at comfortable Lima hours. You can start right away at $103 per session on average, billed at $448 per month, on a HIPAA-secure platform, without hunting for a bilingual clinician locally.

I live in the sierra or selva, in places like Puno, Iquitos, or Cusco, how does Grouport reach me when specialists are concentrated in Lima?

More than 70 percent of Peru's psychiatrists practice in Lima, leaving highland and Amazonian provinces with almost no specialist coverage and forcing long trips to the coast. Grouport removes that travel entirely. From Puno, Iquitos, Cusco, Huancayo, or a rural chacra, you join weekly one-on-one video sessions led by licensed therapists over any stable internet connection. Sessions start right away at $103 per session on average, billed at $448 per month, on a HIPAA-secure platform, bypassing the 20-week public wait and the Lima-centric supply bottleneck.

Individual Therapy Available Across Peru.

Regions

Lima, Callao, Arequipa, La Libertad, Piura, Lambayeque, Cusco, Junin, Ancash, Cajamarca, Puno, Ica, Loreto, San Martin, Ucayali, Huanuco, Ayacucho, Apurimac, Huancavelica, Amazonas, Pasco, Tacna, Moquegua, Tumbes, Madre de Dios

Cities

Lima, Arequipa, Trujillo, Chiclayo, Piura, Iquitos, Cusco, Huancayo, Chimbote, Tacna, Ica, Juliaca, Cajamarca, Pucallpa, Ayacucho, Sullana, Puno, Tarapoto, Puerto Maldonado, Chincha Alta, Huanuco

Zip Codes

15001, 15003, 15046, 15048, 15074, 15076, 15801, 04001, 13001, 22001, 08001

If you have an address in Peru, 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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