Cultivate your life today Name * First Name Last Name Email * Phone * (###) ### #### Preferred method of contact * No Preference Email Phone What services are you interested in? * Select all that apply: Individual therapy Clinical/licensure supervision Group therapy Workshops/trainings What would you like to address: * Select all that apply: ADHD Anxiety Depression Grief LGBTQIA+ Life transition challenges Narcissistic relationships OCD Trauma Other Which state to you currently reside in? * Delaware Maryland New Jersey Pennsylvania Virginia None of the above Do you have a preferred therapist? Brittany Webb, LPC LCPC CCATP (MD, NJ, PA, VA) Jay Janicki, LPC LCPC LPCMH NATC (DE, 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
