Request a Consultation for Therapy

Name *

First Name

Last Name

Phone

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I am seeking *

Individual services for myself

Individual services for my child (12 and older)

Relationship counseling

Do you have a preference in therapist(s)? *

Select all that apply

Open to any therapist

Diane Kim (youth, adolescents, and adults)

Jean Messeroux (adults only)

Wale Okerayi (individuals, couples, friends, and families)

Mo Yimer (adolescents and adults)

Sydnee Corriders (adolescents, adults, and couples)

Child's Name

If seeking therapy for your child

First Name

Last Name

Partner's Name

If seeking relationship counseling

First Name

Last Name