Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *PhoneEducation/TrainingWhat type of ministry do you currently serve in?Current Counseling LoadJust Beginning 0-5 sessions per month6-15 sessions per month16-24 sessions per month25 or more sessions per monthCases you regularly faceAnxietyDepressionAddictionMarriage Family ConflictAbuse/TraumaBitternessOtherTime ZoneEasternCentralPacificBest time to meetMorningAfternoonEveningTotalPrice: $ 300.00Stripe Credit Card *CardName on CardSubmit
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