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.
