Cultivate your life today Name * First Name Last Name Email * Phone * (###) ### #### Preferred Method of Contact * Email Phone No Preference What services are you interested in? * Select all that apply: Individual therapy Clinical Supervision Couples therapy Family therapy Group therapy What would you like to address: * Select all that apply: ADHD Anxiety Grief Hoarding LGBTQIA+ Life transition challenges OCD Trauma Other Do you have a preferred therapist? Brittany Webb, LPC CCAPT (MD, NJ, PA, VA) Grace Harman, LPC BC-DMT (PA) Jay Janicki, LPC (MD, PA) Jordan Schatz, therapist-in-training No preference What would you like us to know * Thank you! You will be contacted within 1-2 business days with your matched therapist! Let’s work together
