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INQUIRY form

Please take a moment to fill out the form so I can have the best context for our next conversation.

Select all of your approved mode of communication: *by selecting texts you are opting in to receive texts from a business line. Your number will not be shared with any third parties.
May I leave a voice message on your phone?
How would you like to work together?
For therapy inquiry, I'm struggling with:

Thanks for submitting!

Once I receive, I'll reach out to schedule a consult.

Contact

Austin, TX
Email: facingeasttherapy@gmail.com

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Licensed Professional Counselor Associate

TX #92309, Supervised by Reem Glasco, LPC-S, SEP

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