Free Telephone Consultation & Numerous Insurances accepted
Stephanie Souza, LISW, LICDC
Stephanie Souza, LISW, LICDC
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About My Practice
What is Therapy?
About Me
Therapy Services
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Contact Me
Client Forms
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Blog
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Home
About My Practice
What is Therapy?
About Me
Therapy Services
Questions?
Contact Me
Client Forms
Resources
Blog
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Home
About My Practice
What is Therapy?
About Me
Therapy Services
Questions?
Contact Me
Client Forms
Resources
Blog
Client Forms
Patient-Intake-Form (docx)
Download
CONSENT TO TREAT 2018 (docx)
Download
NOPP 2018 (docx)
Download
Electronic CommunicationTN (docx)
Download
card_on_file_authorization_form (docx)
Download
auth electronic communication USE THIS NASW (docx)
Download
Client insurance form 2018 (docx)
Download
Parent Agreement of Privacy CHILD ONLY (docx)
Download
"This page and its content are provided for educational and inspirational purposes only. Clients and others should not seek individual advice or diagnoses for specific conditions on this page. Diagnoses and treatment should be delivered only by qualified mental health professionals in the appropriate venue. Please note that your private information is not stored by owner of this site, but cannot guarantee cookies are not being utilized by web host and you may want to turn them off.
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