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Therapy Request
Phone (224) 256-2607
Text (815) 517-2316
HOME
SERVICES
LOCATIONS
THERAPISTS
Julia Lawrence, MS, LCPC
Nicollette Mebust, PsyD, LPC
Jerelyn Lee, MA, LSW
Nicole Lesser, MA, LPC
Danielle Torres, MSW, LCSW
Vanessa Martinez, MA, LCPC
Rory Manning, MA, LSW
Thomas Miller, Master Level Intern
Richard Bayram, MS Ed, LPC
Tom Dworak, LPC, CADC
Sue Schunter, MA, LCSW
Angie Berthelsen, Master Intern Level
Addy Stoll, MSW, LCSW
Noell Terrell, MEd, LCPC
Dennis Morris, MSW, LSW
Neelam Patel, MA, LPC
Jessica Kreis, MA, LPC
Sheri Lindsey, MSW, LSW
Autumn Altamirano, MSW, LCSW
Emily Smedlund, BCBA
FITNESS COACH
Angie Berthelsen, Coach
INSURANCE
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Therapy
Request
To request an appointment, please fill out the information below.
Are you seeking therapy services for yourself?
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Relationship to client
Client's First Name
Client's Last Name
Contact Number
Email
City/Town
Client's Birthday
Name of Parent or Guardian if submitting this form under the age of 18
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