Please complete the information to the right in order to request a consultation for an appointment! Name * First Name Last Name Email * Phone (###) ### #### Insurance Type or Private Pay * Insurance Type or Private Pay Blue Cross/Blue Shield Blue Care Network United Healthcare Commercial Aetna Commercial Blue Cross Complete United Community Plan/Medicaid Aetna Medicaid McLaren Medicaid Meridian Medicaid Molina Medicaid McLaren Commercial Meridian Commercial Molina Commercial Private Pay Times Available * Morning (10am-12pm) Early Afternoon (12pm-3pm) Early Evening (3pm-5pm) Evenings (5pm-7pm) Reason for Appointment * Therapist Requested * Jessica Melissa Rachel No Preference Thank you for reaching out! I will get back to you within 48 hours of your inquiry submission.
