Contact Us

Let’s connect!

Contact me today to inquire about my services.

**Note: This form is NOT for use in a mental health crisis. If you are in a crisis, please call 9-1-1, go to the nearest emergency room, or dial the National Suicide Hotline at (1-800-273-8255).

Name

First Name

Last Name

Email Address

Phone Number

Message

If seeking therapy, what are you hoping to address?

Which service are you interested in?

For traditional therapy, Blue Cross Blue Shield (PPO) is the only insurance accepted. How do you plan to cover your services?

How did you find out about my services?

If referral or other, please describe below