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Arizona residents only.

First Name

Last Name

Phone

Therapy Package

Consultations Only on Fridays – Choose Date (YYYY-MM-DD)

Time (Arizona Time)

What would you like to work on?

If after working together for 6 months and you accomplished your goal, what would be different in your life for you to know that therapy worked?

Notes

This is a supervised private practice. It is owned and managed by a master’s level, non-independent licensee under Board-approved clinical supervision pursuant to A.A.C. R4-6-211. The Board-approved clinical supervisor of this practice is Jean Ball, LCSW, NUMBER, EMAIL.

Phoenix, Arizona

Mindbloom Wellness, LLC acknowledges that what is currently known as Arizona is originally the homelands of 22 American Indian tribes that have inhabited this land as sovereign peoples for centuries, including the Akimel O’odham (Pima) and Pee Posh (Maricopa) peoples. We also acknowledge and pay respect to Indigenous elders – past, present, and future – as custodians of this land throughout the generations.