Let’s work together.

Please check my services for updated information before completing this form to ensure that you understand my current fees and insurance policies.

angie@quietmindscounseling.com
(248) 956-1194

Sessions are currently offered in person at:

29551 Greenfield Rd.

Suite 200
Southfield, MI 48076

Name

First Name

Last Name

Email

Phone

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Where are you located?

I am only able to provide therapeutic services to adults located in Michigan at this time.

What services are you interested in?

Select all that apply.

Therapy

Extended EMDR sessions

EMDR Intensive

How did you hear about me?

Tell me more about what you want to work on