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Living Water Counseling Ministry 

Mental Health and Christian Counseling Services

" ...If you knew the Gift of God...you would have asked of Him, and He would have given you Living Water." (John 4:10 KJV) 

Self Pay Information

If you are interested in self-paying for counseling services please complete the information listed below. We will contact you as soon as possible to discuss your self-pay costs.  


**I will be out of the office Thursday, May 27, 2021 through Monday, June 7, 2021 on vacation. I will not be checking voicemails, emails, or messages during this time. Thanks!**


Gender*
Preferred Method of Contact*
Do you currently have a health insurance plan?*
Do you currently have a Medicare policy?*
Do you currently have a Medicaid policy?*
Have you been court ordered for counseling services?*
Has your lawyer/attorney recommended counseling services? *
Have you been asked to complete counseling services by Child Protective Services (CPS) or the Department of Social Services (DSS)?*
How often were you thinking about attending counseling services?*
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**I will be out of the office Thursday, May 27, 2021 through Monday, June 7, 2021 on vacation. I will not be checking voicemails, emails, or messages during this time. Thanks!** Thank you for contacting Living Water Counseling Ministry. If this is an emergency please dial 911, visit your local emergency room, or contact the National Crisis Hotline at 800-273-8255 to receive immediate assistance. Please be aware that I return phone calls and emails Monday through Thursday during my breaks so your inquiry might not be returned the same day it is received. Meetings are by appointment only based upon availability. I look forward to speaking with you!


Living Water Counseling Ministry Mental Health and Christian Counseling Services

" ...If you knew the Gift of God...you would have asked of Him, and He would have given you Living Water." (John 4:10 KJV)

203 Virginia Street , P.O. Box 576 , Hillsville Virginia United States 24343-0576

© 2019 Living Water Counseling Ministry Mental Health and Christian Counseling Services. All Rights Reserved.

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