Section Title
Please Specify Your Title
Please specify your title
Licensed Professional Counselor
What Is Your Profession?
What is Your Profession?
Licensed Mental Health Provider
What Is Your State License Number?
What is your State License Number?
6401018485
What Are Your Specialty Areas?
What are your specialty areas?
Anxiety, Depression, At Risk Teens
Do You Offer Free Consultation?
Do you offer a free consultation?
Yes
Do You Have Experience And/Or Trained To Work With The LGBTQ+ Community?
Do you have experience and/or trained to work with the LGBTQ+ community?
Yes
Average Fee Per Session
Average Fee Per Session
$120.00
Client Age
Client Age
Pre-Teens (11-13), Teenagers (14-19), Adults, Elders (65+)
Address
Address
7150 Kalamazoo Avenue Suite C Grand Rapids, Mi 49316
Phone Number
Phone
Email Address
Preferred Pronouns
Preferred Pronouns
He/Him/His
Which Ethnicity Do You Identify As?
Which ethnicity do you identify as?
African-American
How Would You Describe Your Gender?
How would you describe your gender?
Male
Do You Have a Religious Affiliation?
Do you have a religious affiliation?
Christianity
What Languages Do You Speak?
What languages do you speak?
English
What Type of Insurances Do YouAccept?
What type of insurances do you accept?
Blue Cross Blues Shield, Blue Care Network, ASR, Priority Health, Meridian, and Molina
Do You Offer a Sliding Scale?
Do you offer a sliding scale?
Yes
How Are You Providing Mental Health Services?
How are you providing mental health services?
Virtual Services, In-Person Services
Statement to Client
Statement to Client
My mission is to help each of my clients become the best version of themselves as they can be.