Contact Please use the form below to securely send us your message. We will do our best to respond within one (1) business day.Name* First Last PhoneDo we have permission to call/leave a message?YesNoEmail Do we have permission to e-mail a response?YesNoReason(s) for seeking counseling*- Please Select -FamilyIndividualLife StrategiesOtherFamily*You may pick more than one. marriage divorce parenting blended families conflict communication behavior problems school difficulties Individual*You may pick more than one. anxiety depression stress grief and loss trauma motivation successful living obsessive compulsive disorder drug/alcohol issues addiction life change/transition planning and goals sleep difficulties chronic conditions isolation problematic thinking Life Strategies*You may pick more than one. goal achievement career initiative performance confidence management work/life balance Other reason(s) for seeking counseling.*Name of Insurance or EAPRequest for which Counselor*You may select more than one Kevin Dyk Nicole Dyk Clarisse Jackson First Available Counselor MessageLet us know if you have any questions. Text input is limited do be as succinct as possible.CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.