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CONTACT

info@baytherapyandwellness.com

Tel: (510) 200-8799

First Name

Last Name

Email

Phone

I am interested in the following service:

Individual Psychotherapy

Couples Psychotherapy (Please note that all parties in the relationship must be present for the consultation call. Include additional contact info in the body of the message. )

Child-Parent Psychotherapy (Please note this modality is for children 0-5yo and is provided in person.)

Subject

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Please check if applicable. Information will be used to determine if you qualify for reduced rates or pro bono services.

Black, Indigenous, or Person of the Global Majority

Queer

< $25,000 annual income

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Contact Information

Mailing Address

2930 Domingo Ave #1064

Berkeley, CA 94705

Phone

(510) 200-8799

© 2021 by Bay Therapy and Wellness

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