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Type of Therapy Needed? Check all that apply
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Anger Management Evaluation / Sessions
Court-Ordered Individual Counseling
Court-Ordered Family Counseling
Domestic Violence Counseling
Divert Court / Drug Court
DWI / DUI Education
Group Therapy
Mental Health Rehabilitation (PSR & Skills Training)
Life Transitions and Stress Management
Parenting or Co-Parenting Counseling
Post Partum Support Group
Reunification Therapy
Probation / Parole-Referred Counseling
Relationship and Conflict Resolution Counseling
SBIRT Screenings (Substance Risk Assessment)
Standard Therapy (General Counseling)
Substance Use Evaluations and Referrals
Substance Use / Relapse Prevention Counseling
Referred By
Time Preferred
Insurance Information / Click one
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