Anxiety or fears
Gay and lesbian issues
Loss or grief
Trauma and PTSD (Post Traumatic Stress Disorder)
Addictions or substance abuse
OCD (Obsessive Compulsive Disorder)
Cognitive Behavioral Therapy (CBT)
M.A., Clinical Psychology
John F. Kennedy University, 1996
License # MFC 33426 California
California Association of Marriage & Family Therapists
$140 per 50 minute session. Sliding scale available.
CIGNA and Contra Costa Health Plan accepted.
Billing statements will be available for insurance reimbursement.
Here are my six intake forms:
Please fill them out, sign and date them, and either FAX them to me at: 925 952-7073 or scan the signature pages (and the completed Bio Intake Form) and email them to me at: firstname.lastname@example.org.
You may also mail them to me at:
1200 Mt. Diablo Blvd. Suite 407
Walnut Creek, CA 94596
They are in PDF format. Please click each
form to download.
4. HIPAA Form
1200 Mt. Diablo Blvd. Suite 407 Walnut Creek, CA 94596