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Online Individual Therapy for Saint Pierre and Miquelon.

Mental health care in Saint Pierre and Miquelon runs through a single institution. Centre Hospitalier Francois Dunan holds nearly all clinical capacity, the resident workforce is small, and rotating practitioners cycle in from metropolitan France, so a specialist consultation typically means waiting close to twelve weeks. Even reaching the appointment can involve a weather-dependent ferry or short flight from Miquelon-Langlade to Saint-Pierre. And finding a clinician actually trained in the specific approach your situation calls for, whether that is OCD, complex trauma, panic, depression, grief, BPD, ADHD, relationship work, or the many other things people navigate, is another layer of difficulty entirely. Grouport's online individual therapy is built for that gap. You complete a short signup, are presented with therapist options fitted to your specific situation, choose the clinician you would like to work with, and typically start within 24 to 72 hours. Weekly 45-minute one-on-one video sessions with the same licensed 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

Mental Health Access Snapshot for Saint Pierre and Miquelon.

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

Mental Illness Prevalence

18.7% of Saint-Pierrais 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 Saint Pierre and Miquelon's public system, an interval during which symptoms often deepen.

Median Household Income

$30,622 median household income in Saint Pierre and Miquelon, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

70.6% of Saint-Pierrais adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

67% of Saint Pierre and Miquelon's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

16.7 per 100,000 mental health workers in Saint Pierre and Miquelon, a density that shapes availability, wait times, and access across the country.

The archipelago's numbers tell a consistent story: roughly 16.7 mental health workers per 100,000 residents, a population of about 6,000 spread across two islands, one hospital handling almost all mental health capacity, and a typical wait of around twelve weeks for a specialist consultation. Complex cases are medevaced to metropolitan France or, under bilateral agreement, to Canada. Those figures describe a system doing its best with a very small clinical base, not one built to sustain weekly, one-on-one talking therapy at scale. Grouport's model addresses exactly that gap: a licensed clinician, matched right away, meeting the same client every week over secure HIPAA-compliant video, priced as a predictable USD subscription across a full course of care.

UNDERSTANDING THE CHALLENGE

Why Mental Health Care Is Hard to Reach in Saint Pierre and Miquelon.

The Problem

The archipelago is small in area and even smaller in specialist headcount. Roughly 90% of the population lives on Saint-Pierre island, where the Centre Hospitalier Francois Dunan concentrates most of the clinical workforce. Miquelon-Langlade, joined by the narrow Dune de Langlade isthmus, holds most of the remaining residents and depends on visiting practitioners, a ferry crossing of about an hour, or a short flight from Saint-Pierre. When one of the archipelago's psychologues is on leave, in training in metropolitan France, or between contracts, the effective specialist count on any given week can drop to zero, and there is no neighbouring town to drive to.

The Impact

Waiting roughly twelve weeks for a specialist consultation reshapes an ordinary work year in Saint Pierre and Miquelon. During that stretch, a working adult often absorbs three months of untreated anxiety, low mood, or insomnia while continuing to run shifts at the port, the school, the hospital, or a small family business, settings where absences are visible in a community of 6,000 residents. Sleep erodes, focus slips, and short tempers wear on partners and colleagues who all live within a few blocks of each other. Grouport removes that runway. A licensed therapist is available within days, sessions happen from home over secure video, and clients begin working on the actual problem in week one rather than week twelve.

The Solution

Grouport addresses the structural gap that shapes mental health access across the archipelago. Rather than routing through the single-hospital appointment queue at Centre Hospitalier Francois Dunan or waiting for a rotating practitioner to cycle in from metropolitan France, residents complete a short signup, are presented with licensed clinician options fitted to their specific situation, and choose the therapist they would like to work with. First sessions typically land within 24 to 72 hours over secure HIPAA-compliant video, held from anywhere on Saint-Pierre or Miquelon-Langlade with no ferry, no weather-disrupted travel day, and no lost work time around a hospital appointment. Because the therapist stays the same across the full arc of care, the work builds week over week instead of resetting every time a locum leaves the island. For residents who have hesitated to book locally in a community of roughly 6,000 where a clinician can also be a neighbor or a school parent, keeping the therapeutic relationship outside the archipelago restores the privacy that a small population makes hard to protect. Frequency is flexible, and $103 per session on average makes weekly work sustainable across the North Atlantic winter and beyond.

67% of Saint Pierre and Miquelon'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 the archipelago. First, it removes the roughly twelve-week wait for a specialist consultation at Centre Hospitalier Francois Dunan by matching clients right away and letting them book their first session this week. Second, it eliminates the geographic constraint of a hospital-based model concentrated in Saint-Pierre, so sessions happen wherever the client has an internet connection, whether that is Saint-Pierre, Miquelon-Langlade, or a work rotation on the mainland. Third, it gives expatriates, Canadian cross-border workers, and bilingual professionals a licensed therapist who works, an option that is scarce inside a French-language health system reliant on rotating clinicians from metropolitan France.

Access and Availability Across Saint Pierre and Miquelon.

Formal mental health care in Saint Pierre and Miquelon flows almost entirely through the Centre Hospitalier Francois Dunan in Saint-Pierre, the archipelago's only hospital, backed by the Caisse de Prevoyance Sociale and by medical evacuation agreements with metropolitan France and Canada for complex psychiatric cases. Private practice is minimal, employer assistance programs are rare given the small workforce, and there is no local university mental health service. Grouport fills the missing layer: weekly, one-on-one video therapy with a licensed clinician, available across both inhabited islands and priced in USD as a predictable monthly subscription rather than through the French social insurance schedule.

Geographic Barriers

Saint Pierre and Miquelon spreads a population of about 6,000 across two inhabited islands, Saint-Pierre and Miquelon-Langlade, separated by open water in the North Atlantic. Nearly all clinical mental health capacity sits in the town of Saint-Pierre, which means Miquelon-Langlade residents typically arrange a ferry or short flight simply to attend a single appointment, travel that is frequently disrupted by fog, wind, and winter storms. Even inside Saint-Pierre, appointment slots are constrained by the small resident workforce and rotating practitioners from metropolitan France. Online individual therapy dissolves those geographic constraints: a client on Miquelon-Langlade sees the same licensed clinician as a client in the center of Saint-Pierre, with no ferry, no flight, and no lost travel day.

Extended Wait Times

Residents seeking a specialist mental health consultation through the archipelago's hospital-based system typically wait around twelve weeks, roughly three months, because the resident workforce is small and often depends on rotating practitioners from metropolitan France. That gap is significant when the presenting problem is worsening anxiety, a depressive episode, grief, or burnout that is actively interfering with work and family life. Instead of waiting twelve weeks for a first appointment, clients booking with Grouport are matched to a licensed therapist right away and hold their first 45-minute session inside a week. The therapeutic work starts when the client actually needs it, not a full quarter later.

Systemic Challenges

Several structural realities shape mental health access in Saint Pierre and Miquelon. The archipelago-wide specialist workforce is thin, with roughly 16.7 mental health workers per 100,000 residents scaled to a population of 6,000, which means only a handful of practitioners on-island at any given time, many of them rotating in from metropolitan France. Public capacity is concentrated in a single hospital, private practice is limited by market size, and complex psychiatric cases are routinely medevaced to France or Canada. Small-community dynamics further discourage some residents from booking locally, since a therapist may also be a neighbor or a parent at the same school. Grouport works around those constraints by connecting residents to licensed clinicians outside the islands entirely, over secure HIPAA-compliant video.

Urban-Rural Divide

The gap between Saint-Pierre proper and Miquelon-Langlade is unusually stark for such a small territory. Roughly 55 percent of the population lives in the more urbanized commune of Saint-Pierre, where nearly all clinical services, including the Centre Hospitalier Francois Dunan, are located. Miquelon-Langlade residents, along with families in the archipelago's more dispersed neighborhoods, face additional travel time and weather-dependent transport just to reach the same appointment window. Grouport removes that divide. A client on Miquelon-Langlade sees a licensed therapist over video at the same day and time as a client a few streets from the hospital in Saint-Pierre, at the same USD price and with the same continuity of care.

For Saint Pierre and Miquelon residents ready to begin real weekly work with a therapist actually trained for what they are dealing with, Grouport offers a direct path that sidesteps the archipelago's twelve-week hospital queue and the geography that comes with it. After a short signup you are presented with clinician options fitted to your specific situation, you pick the therapist you would like to work with, and typically get started within 24 to 72 hours. The first 45-minute one-on-one video session typically lands the same week, held over secure HIPAA-compliant video from wherever you are on Saint-Pierre or Miquelon-Langlade, so no ferry, no rescheduling around fog, and no waiting for the next practitioner to rotate in from metropolitan France. Pricing is $103 per session on average ($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 your work, with room to step up frequency during heavier stretches, drop back when things stabilize, or layer in group, couples, family, or an intensive outpatient program if that turns out to be useful. A care coordinator is available throughout for anything you need along the way.

What Individual Therapy Costs a Saint Pierre and Miquelon Resident.

Grouport gives Saint Pierre and Miquelon 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 one-on-one care with a licensed therapist. The every-other-week option is $224 per month for clients who want a lighter cadence. Both plans include the same 45-minute video session with a licensed clinician, the same matching process, and the same continuity of working with one therapist across the full course of care, all priced predictably in USD.

Affordability and Income

With gross national income per capita around $24,000, discretionary spending in Saint Pierre and Miquelon has to be planned carefully, and a therapy relationship that stretches across months needs to be affordable in ongoing terms, not just per appointment. Grouport's monthly subscription framing, which is $103 per session on average, billed at $448 per month for weekly sessions or $224 per month for every-other-week sessions, gives clients a fixed USD line item they can budget alongside groceries, utilities, and transport. There are no per-session surprise charges, no separate intake fees, and no annual commitments, so a client can sustain a full course of care through the winter months when isolation and low mood tend to intensify in the North Atlantic climate.

Hidden Cost and Barriers

In-person mental health care in the archipelago carries costs that never appear on a bill. A Miquelon-Langlade resident may spend a weather-dependent ferry or short flight to Saint-Pierre just for one appointment, plus the lost work hours around the trip. Residents within Saint-Pierre still lose part of a workday around a hospital appointment. Finding a licensed clinician who works adds another search entirely. Session-by-session pricing in a French social insurance context creates unpredictability, and any private supplemental spending sits on top of that. Grouport folds all of it into one predictable USD subscription that clients can cancel at any time, delivered from home over secure video with no travel, no scheduling around ferry timetables, and no separate English-clinician search.

Immediate Availability

The typical route to a specialist appointment in Saint Pierre and Miquelon runs about twelve weeks because the resident workforce is small and appointment slots at Centre Hospitalier Francois Dunan are limited. Grouport does not use that queue. Clients complete a short intake, are matched to a licensed therapist within days, and hold their first 45-minute video session inside a week. For Saint Pierre and Miquelon clients ready to start now, a licensed Grouport therapist is available this week, at the same $103 per session weekly rate or $224 per month for every-other-week rate, with the same clinician staying with them across the full course of care.

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

Saint Pierre and Miquelon

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 clinician bench is made up of licensed mental health professionals, including psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, most of them trained in specific evidence-based modalities such as CBT, DBT, EMDR, ERP, exposure therapy, IFS, and ACT. That range matters, because what actually moves the needle on OCD is different from what helps someone through complex trauma, panic, a depressive episode, BPD, or a hard grief. Rather than being assigned whoever happens to be free, Grouport clients see therapist options fitted to their specific situation and pick the clinician they would like to work with. The same therapist stays across the full arc of care, in weekly 45-minute one-on-one video sessions over secure HIPAA-compliant video, with the option to shift to an every-other-week cadence if that suits the moment better. Therapists are used to working with clients across many countries, contexts, and time zones, so a Saint Pierre and Miquelon reader lands with someone comfortable meeting them where they actually are.

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Affordable Individual Therapy & Care Options in Saint Pierre and Miquelon.

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 Saint Pierre and Miquelon.

What information do you share with insurance companies in Saint Pierre and Miquelon?

When you submit for insurance reimbursement, we provide a superbill that includes: your name, therapist's name and credentials, dates of services rendered, cost paid per session, and any other relevant information needed for reimbursement.

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.

Is everything I say confidential?

Yes, therapy is confidential with specific limited legal exceptions your therapist explains in the first session. Exceptions include you report intent to harm yourself or others, you disclose child or elder abuse, a court orders release of records (rare), or you provide written consent to share information. Outside of these rare situations, your therapist cannot share anything without your permission, not with family, employers, or anyone else. This confidentiality creates safety for you to explore difficult topics honestly. Your therapist takes confidentiality seriously and explains exactly what's protected and what isn't.

Can I do online therapy if I'm on medication?

Yes, many people combine online therapy and medication and research shows this combination is often most effective for conditions like depression, anxiety, bipolar disorder, and ADHD. Medication addresses neurochemical imbalances while therapy teaches coping skills, addresses thought patterns, and helps you understand and manage your condition. Your therapist can coordinate with your prescriber (e.g. Psychiatrist, psychiatric nurse practitioner, or primary care doctor) if you'd like, though they cannot prescribe medication themselves. Some people start with therapy and add medication later if needed, while others taper off medication as therapy provides alternative coping tools. Therapy supports medication treatment regardless of your approach.

What if I've tried therapy before and it didn't work?

Previous unsuccessful therapy can happen and doesn't mean therapy can't help. Take into account, was the therapist a good fit? Did you attend long enough (change often takes 8+ sessions)? Was the timing right? Did the approach match your needs? Sometimes people need a different therapeutic modality and if talk therapy didn't work, maybe DBT skills, CBT, or EMDR would. Therapy also works better when you're ready for change versus feeling pressured. Discuss your previous experience with your new therapist and this helps them adapt treatment to what didn't work before. Many people succeed with therapy after finding the right fit or approach.

What issues does individual therapy help with?

Individual therapy effectively treats anxiety disorders, OCD, depression, trauma and PTSD, Borderline Personality Disorder (BPD), Bipolar Disorder, grief and loss, relationship problems, self-esteem and identity issues, life transitions (career changes, divorce, moving, becoming a parent etc.), stress management, anger issues, eating and body image concerns, substance use, chronic illness, and general personal growth. Even if you don't have a diagnosis, therapy helps with life challenges and improving mental wellbeing. If unsure whether therapy can help your specific concern, schedule a free call with a care coordinator and they can discuss what would be relevant for your needs.

Can therapy help with major life transitions?

Big life changes, moving, career shifts, relationship changes, becoming a parent, dealing with empty nest, retirement, create stress anywhere. Therapy supports you through transitions, helps you adapt to change, and processes grief about what you're leaving behind.

What if I'm experiencing burnout?

Burnout from work, caregiving, activism, or other demands affects people globally. Symptoms are similar across cultures, exhaustion, cynicism, reduced effectiveness. Therapy helps you address burnout, set boundaries, and figure out if you need to change your situation or just change your relationship to it.

Can I use my partner's or parent's insurance for therapy in Saint Pierre and Miquelon?

If you're on their insurance plan as a dependent, yes. Spouses and children under 26 can usually use the policyholder's insurance. You'd still need to check out-of-network mental health benefits and submit claims. The policyholder will get an Explanation of Benefits showing you're getting mental health care (though not session details). Privacy can be an issue if you don't want your parent/spouse knowing you're in therapy.

I'm a young adult in Saint-Pierre and worried everyone at Centre Hospitalier Francois Dunan will recognize me. How does Grouport protect confidentiality?

In an archipelago of roughly 6,000 residents, small-community dynamics can make walking into the island's only hospital feel exposing. Grouport connects you with a licensed therapist based entirely outside Saint Pierre and Miquelon for weekly 45-minute one-on-one video sessions, so there's no chance of running into a neighbor, classmate, or colleague in a waiting room. Sessions run over a HIPAA-secure video link on your own schedule in the UTC-3 time zone, and you can start right away rather than waiting for a local slot.

How does Grouport's $103 per session on average compare to what I'd pay out of pocket before CPS reimbursement in Saint Pierre and Miquelon?

With a GNI per capita near $24,000 and typical private psychology consultations on the islands running well above 50 euros before Caisse de Prevoyance Sociale reimbursement, therapy costs add up quickly, especially if you're traveling from Miquelon-Langlade for each visit. Grouport is $103 per session on average, billed at $448 per month, for weekly 45-minute one-on-one video sessions with a licensed therapist over a HIPAA-secure link. You skip the ferry, the 9-week local wait, and the reimbursement paperwork, and you can start right away.

Individual Therapy Available Everywhere in Saint Pierre and Miquelon.

Regions

Saint-Pierre bourg, Ile-aux-Marins, Anse-a-Ravenel, Savoyard, Pointe-Blanche, Cap-aux-Basques, Miquelon village, Langlade, Grand-Barachois, Dune de Langlade, Anse-du-Gouvernement

Cities

Saint-Pierre, Miquelon, Langlade

Zip Codes

97500

If you have an address in Saint Pierre and Miquelon, 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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