The USA is a vast place and there are relatively few confession Presbyterian and Reformed Congregations. You can find many of them listed via NAPARC. Regularly confessional ministers get the question: what do I do when there is not a confessional P & R congregation near me? Recently the HB addressed this very question and the question: what do I do when the nearby congregation does not seem as confessional as it might? That post led to the latest episode of the Presbycast where we discussed how to find a P & R congregation, the role of prayer in evangelism, church growth, church planting, and strategies for coping when you become Reformed but you are separated from the nearest P & R congregation by great distance.
Here is the episode on SoundCloud.