Online Counseling Payment Basic Info Payment Confirm Basic Info Personal Information First Name Last Name Email Select Counselor Douglass Ruth, LCSW, CCTPDavid Molko, LCSWMissy Fry, LCSWCaitlin DeBoer, MSW, CSWAJanet Menashe Next Payment Payment Information *Select Amount $15 $25 Other Credit Card Credit Card I accept the no Previous Pay $$ Payment Successful Thank you for submitting your payment. Page will be redirected in 5 seconds.
