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Request an Appointment
If you are interested in services, please submit the information on this form.
Filling out this form does not guarantee services.
If we have availability with a clinician who looks like they would be a good match for your needs we will reach out at our earliest convenience.
We currently do not accept clients under the age of 13.
We currently do not have any couples or marriage counseling availability.
WE CANNOT ACCEPT MEDICARE EVEN IF YOU HAVE A SECONDARY INSURANCE.
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