Client Forms

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

Client Intake Form

Information Sheet

Limits of Confidentiality



Licensed Professional Counselor (LPC)
Nationally Certified Counselor (NCC)
Approved Clinical Supervisor (ACS)

KHarrell.lpc@gmail.com
703-282-4286

Primary Address:
4601 North Fairfax Drive - Suite 1200
Arlington VA 22203

Secondary Address
4000 Legato Road - Suite 1100
Fairfax VA 22033

verified by Psychology Today

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