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Service:New Client: Initial IN OFFICE appointment (55 min) add another, change
Therapist: Todd Sadler MA, LMHC, NCC
Date/time:Fri, Jan 25 2019 at 6:00 PM (PST) change

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First name*
Last name*
Email*
Phone*
What type of counseling are you primarily interested in?*
In a few words, what are your goals for coming in for counseling?
Would you prefer to go through your insurance if possible or pay privately?*
*Please be aware that we are not able to bill insurance directly for online counseling appointments at this time
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