First Name*:
Last Name*:
Phone Number*:
Email*:
Counselor*:
—Please choose an option—Fatima Mirza, PhD, LCSWTamara Philbin, MS, NCCAlexandra Delaroderie, MA, LPCAudra Mrini, LPC, NCCCarey Gauzens, LCSW, CPBecki Porter-Harmon, MA, BCCJuanita Stokes, MA, NCC, MARSDeborah Styler, MSKevin Ogle, DMin, AAPC FellowStephanie L. Shaefer Ph.D., M.Ed., LPCKristen Benson, MSW, LMSWKelly Bojan, M.S., NCC, Licensed Resident in CounselingRachel Kinney LMFT (TN), M.Div, MAAnu Sunkara MS, Resident in MFT, Licensed Resident in Counseling
Counseling Type
—Please choose an option—Individual CounselingCouples CounselingFamily CounselingChildren’s CounselingPremarital CounselingClergy AssessmentClasses and GroupsCommunity Education
Interests/Issues
—Please choose an option—AbuseAddictionsAdolescentsAdoptionAdult Children of Alcoholics (ACOA)Aging/SeniorsAIDS/HIVAnger ManagementAnxietyAssessment (Clergy)Assessment (Psychological)Bi-Polar Disorder/Manic DepressionBody/Mind IntegrationBrief Solution Focused TherapyChild AbuseChildren (Children’s Counseling)Chronic IllnessClergy and Clergy FamilyClergy AbuseCognitive Behavioral TherapyCollaborative DivorceCollege AdjustmentConflict managementCouples/Relationship Therapy (Couples Counseling)Crisis CounselingDepressionDomestic ViolenceEating disordersEye Movement Desensitization and Reprocessing (EMDR)Family Therapy (Family Counseling)Fertility IssuesGay/Lesbian/Bi-Sexual/Transgender (GLBT) IssuesGrief and lossImageryImago Couples TherapyLearning DisabilitiesMarriage Therapy (Couples Counseling)Men’s IssuesMilitary FamiliesObsessive Compulsive Disorder (OCD)Panic AttacksPhobiasPlay therapyPost-Traumatic Stress Disorder (PTSD)Pre-Marital CounselingSelf-Esteem/EmpowermentSexual AbuseSexual AddictionSexual IdentitySpiritual CrisisSpiritual DevelopmentSpouse/Partner AbuseStep-Family/Blended Family IssuesStress Management (including Financial Issues)Substance AbuseTraumaWomen’s IssuesWorkplace IssuesYoung Adult Issues
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