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creasman counseling, pllc

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Counseling Request

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My name is...(first name, last initial *

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I would like to meet... *

In person Virtually (video telehealth) Either

My insurance is *

Please note that we are not in network with Blue Value, Blue Home, or Blue Local plans.

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If you are not using insurance, please enter "NA."

Please contact me by... *

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I'm seeking counseling for... *

Depression Anxiety Trauma Career Relationships Body Image/Self-esteem Substance use concerns (myself or family) Identity (race, gender, ethnicity, sexuality Parenting My child or adolescent Something else

Check all that apply.

Please enter your phone number or email *

Is there anything else you would like us to know or questions you have? *

How did you hear about us? *

If you checked "something else," please describe. *

What count in North Carolina are you located in? *

What is your preferred language? *

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Mental Wellness for All

raleigh

715 W Morgan St. Raleigh NC 27603

Durham

2009 Chapel Hill Rd.
Durham NC 27707

NEw Bern

606-B Pine Tree Dr. New Bern NC 28562

Phone/fax

join our team

(p) 919 977 0087
(f) 919 890 0852

Home
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Contact