Name *

First Name

Last Name

Phone *

(###)

###

####

Preferred Contact Method *

E-Mail

Phone Call

Location of Therapy *

Austin

Ft Worth

Virtual

No preference

Therapist to Contact *

Check one or more therapists to contact. Your information will be sent directly to the therapists you check below.

Marie Gray LPC-S

Jasmine Trotter LPC

Madeleine Smith LPC

Jessica Chavarria LPC-A

Linda Love LPC-

Sarah Newman LPC-A

Jamison Barton LPC-A

Dexter Collins LPC-A

Ben Meyers LPC-A

Megan Grisham LPC-A

Kiran Hundal LPC-A

Maddy Marsh

I don’t know, help me chose the best fit