I guess the answer to your question is, as far as you're willing to go, kimmie. I drive an hour and a half each way to see my therapist and endo and it looks like my electrologist will require the same amount of travel. I hate it and I have no other choice. That's where the services are and I'm not. The bright side is that I can be myself when I go there. I'm not out yet in the town where I live (although I'm working on it!)
I don't know how close the nearest larger city is to where you live but that's where I'd start looking. If it's too far, well, I know of other transsexuals who have moved simply to be able to get to the services they need. Ya gotta do whatcha gotta do. The Links section here at Susan's may be able to hook you up. There are other TG friendly therapist lists on the www. I found mine using Google.
hugs & smiles
helen