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Counseling Resources in the Harrisonburg Community


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Counseling Resources in the Harrisonburg Community

Aporia Counseling & Psychotherapy, PLLC
Nate Koser, PhD, LPC
Kristy Koser, LPC
273 Newman Avenue, 2nd Floor
Harrisonburg, VA 22801
Office: 540-908-7707
www.aporiacounseling.com

Specialty: Trauma; Anxiety and Mood-Related Concerns, Gender and Sexuality Issues, Long-term, Intensive, Individual Psychotherapy, Psychoanalytic treatment
Fee: $70 (Individuals), $100 (Couples)
Insurance: None
Other: Private parking in the rear of the building.

Aurora Counseling & Well-Being
Laura Anne Copley, PhD, LPC
2015 Reservoir St., Suite 205
Harrisonburg, VA 22801
Office: 540-466-3446 
www.aurora-counseling.com

Specialty: Trauma, Relationship Issues, Borderline Personality Disorders, Mood-Related Concerns, Identity and Self-Esteem Issues, and Wellness Promotion
Fee: $120/initial, $100/ongoing, $35/interpersonal group
Insurance:  Will assist clients with documentation necessary to submit to their insurance for reimbursement.

Susan L. Beck, LCSW
273 Newman Ave.
Harrisonburg, VA 22802
Office: 540-383-8466
www.harrisonburgcounselors.com

Specialty: Anxiety, Stress, Depression & Mood concerns, College Students, Bipolar, Lyme Disease, Couples/Relationships, Family, Grief/Loss, Trauma, Womens’ Issues, Survivors of sexual abuse/assault, LQBTQ or sexuality concerns, Mindfulness, Cognitive Behavioral Therapy, Mind/body healing using EFT tapping (similar to acupuncture) and biofeedback.
Fee: $45/initial, $80/ongoing, $110 Assessment.  ($20 discount for college students per counseling session.)
Insurance: Will assist clients with documentation necessary to submit to their insurance for reimbursement.

Kimberly Bickford, LPC
1820 Country Club Road
Harrisonburg, VA 22802
Office: 540-820-8377

Specialty: Anxiety, Bipolar, Couples/family, Eating disorders, Grief/Loss, Survivors of sexual abuse/assault
Prefers no referrals for: Substance dependent clients
Fee: $100/initial, $90/ongoing
Insurance: Anthem, Coventry, Aetna, Magellan, United Healthcare, and others      
Other: Bus stop located in front of office (From Godwin, use Rt. 2 bus).

Barton Biggs (Resident in Counseling)
150 Franklin St.
Harrisonburg, VA 22801
Office: 540-246-9731
bart@relationalhealth.net

Specialty: Addiction (Drug/Alcohol/Sexual), Adjustment, ACoA, Anxiety, Career, Depression, LGBTQ, Grief, Couples, Men’s Issues, Personality, Self-Esteem, Sexual Dysfunction, Women’s Issues
Fee: $40/initial, $50/ongoing (sliding scale available)
WAIT TIME:  One week
Other: Office is located near all downtown bus lines. 10 minute walk from SSC.

Ellison Cale, Ph.D
2015 Reservoir St., Suite 204
Harrisonburg, VA 22801
Office: 404-276-7978
http://ellisoncale.weebly.com

Specialty: Anxiety (phobias, social anxiety, panic attacks, generalized anxiety), Bipolar disorder, LQBTQ, Grief/Loss, Personality Disorders, Survivors of sexual abuse/trauma, OCD
Fee: $125/initial, $100/ongoing. (Possibility of sliding scale for clients paying out of pocket)
Insurance: Will assist clients with documentation necessary to submit to their insurance for reimbursement
Other: Route 4- Bus stop within one block.  

Amanda Casius, LPC
40 Lambert St
Staunton, VA
Office: 540-886-3956 x102

Specialty: Anxiety, Bipolar Disorder, LQBTQ, Grief/Loss, Personality, Survivors of sexual abuse/assault, Depression, DBT, CBT
Fee: $125 initial/ $100/ongoing, offers discount for self-pay 
Insurance: Aetna, Anthem, Cigna, Magellan, Medicaid, MHNet, Optima, United Behavioral Health, Virginia Premier.

Center for Marriage and Family
358 S Main St. (MOVED April 2016 – temporarily in St. Stevens)
Harrisonburg, VA 22801
Office: 540-433-1546

Specialty: Varies by clinician
Fee: Utilizes sliding scale for clients paying out of pocket
Insurance: Accepts most insurance; Anthem BCBS, Coventry Health Care, Optimum Health, Cigna, Va Premier, Magellan
Other: Less than 10 minute walk from SSC.

Charis Institute for Psychological and Family Services:

Randy Weber, Ph.D
Ronda Weber, Ph.D 

21 Southgate Ct., Suite 101
Harrisonburg, VA 22801
Office: 540-568-1876 (call between 9am and 3pm to speak with office staff.)

Specialty:

Randy Weber, Ph.D: Alcohol/Drug abuse, Anxiety, Bipolar disorder, Couples, Eating disorders, LQBTQ,  Grief/loss, Personality disorders, Spiritual concerns, Survivors of sexual abuse/assault
Ronda Weber, Ph.D: Fluent in Spanish.  Alcohol/Drug abuse, Anxiety, Bipolar disorder, Couples, Eating disorders, LQBTQ,  Grief/loss, Personality disorders, Spiritual concerns, Survivors of sexual abuse/assault, third culture, international, Latino

Fee: $110/initial, $90/ongoing
Insurance: Aetna, BCBS, Anthem, CareNet, Cigna, Medicaid, Medicare, MHNet, Optima Health, PHCS, Piedmont, Tricare, UBH, United Health Care, Va Premier, Value Options
Other: Located near route 4 South Main St. bus stop.

Pam Reese Comer, LPC
273 Newman Avenue, 2nd floor
Harrisonburg, VA 22801
Office: 540-209-1676

Specialty: Anxiety, Bipolar, Depression, LQBTQ, Grief/loss, Spiritual Concerns, Survivors of sexual abuse/assault
Fee: $100/couples, $70/individual, Adjusted fee upon request.  
Insurance: None
Other: Available only Tuesday and Wednesday evening 5-8pm.

Counseling and Psychological Services (CAPS)
601 University Blvd., MSC 9012
Blue Ridge Hall
Harrisonburg, VA 22807
Office: 540-568-1735 

Specialty: Assessment, individual, couple and group counseling
Fee: $5/session for JMU students
$450 assessment (not due at time of service, payment plans available, credit cards accepted)
Insurance: None

Ken Critchfield, PhD
Licensed Clinical Psychologist
481 E. Market Street
Harrisonburg, VA 22801
Office: 801-809-4503

Specialty: Alcohol/drug abuse, Anxiety: PTSD, GAD. Panic, OCD, Bipolar Disorder, Couples/family, Eating disorder, LGBTQ, Grief/loss, Personality Disorders, Spiritual, Survivors of sexual abuse/assault, Complex comorbidity, Treatment Resistant/chronic, Suicidality, Dissociative Disorders  
Fee: $100
Insurance: Will assist clients with documentation necessary to submit to their insurance for reimbursement
Other: Office is located at the corner of E. Market St and Reservoir St. Bus stop for routes 1,2,5,6 is a few blocks west on E. Market St.
JMU Faculty member in Dept. of Graduate Psychology, unable to accept referrals  of graduate students in that program.

Greg Czyszczon, PhD, LPC
481 E. Market Street
Harrisonburg, VA 22801
Office: 540-246-2284
www.innerworkcounseling.org

Specialty: LQBTQ, Family issues, Life transitions, Spiritual concerns
Fee: $80
Insurance: Aetna, MH Net (Southern Health/Coventry), Anthem, BCBS, Cigna
Other: Office is located at the corner of E. Market St and Reservoir St. Bus stop for routes 1,2,5,6 is a few blocks west on E. Market St.

Joan Eberly, LPC
1820 Country Club Road
Harrisonburg, VA 22802
Office: 540-574-0950

Specialty: Anxiety, Bipolar disorder, Depression, LQBTQ, Grief/Loss, Women’s Issues
Fee: $95/initial, $80/ongoing
Insurance: Accepts: Anthem, Cigna, Value Options, Aetna, UBH, United Healthcare, MHNet, Sentra, Magellan, Blue Cross.
Other: Bus stop located in front of office (From Godwin, use Rt. 2 bus).

Rich Eberly, LPC, LMFT
1820 Country Club Road
Harrisonburg, VA 22802
Office: 540-434-3456

Specialty: Anxiety, Bipolar disorder, Depression, LQBTQ, Grief/Loss, Couples/Family/Relationships
Fee: $80, $65/self pay
Insurance: Anthem, Cigna, Value Options, Aetna, UBH, United Healthcare, MHNew, Sentra, Magellan, Blue Cross.
Other: Bus stop located in front of office (From Godwin, use Rt. 2 bus).

Eros & Agape Counseling, PLLC
Dessie C. Elwell, LPC
2015 Reservoir St., Suite 205
Harrisonburg, VA 22801
Office: 540-324-3069
http://www.erosandagapecounseling.com/

Specialty: Anxiety, Depression, Grief, LGBTQ, Multicultural, Personality, Relationship, Sexual addiction/Dysfunction/Issues/Concerns, Women’s issues
Fee: $90/initial, $60/ongoing, offers sliding scale for self-pay. 

Family Educational Services (FES)
Debra Clatterbuck, M.ED, LPC, Executive Director
Lora Cantwell, LCSW
3270 Albert Long Drive
Harrisonburg, VA 22802
Office: 540-432-8660

Specialty: Anxiety, Bipolar disorder, Couples/Family, LQBTQ, Grief/Loss, Personality, Spiritual Concerns, Survivors of sexual abuse/assault, Trauma informed CBT
Fee: $75
Insurance: Medicaid, Virginia Premier, Optima, Anthem Healthkeepers
Other: Bus stop located across the street for SRMH Medical Center.  

Family Life Resource Center
273 Newman Ave
Harrisonburg, VA 22802
Office: 540-434-8450
www.flrc.org

Specialty: Christian perspective; Individual, Couples; have 10 clinicians on staff
Fee: $110/initial, $80/ongoing – sliding scale available
Insurance: Anthem, Aetna, Cigna, MHNet, Medicare, Medicaid, Optima, Tri-Care, Value Auctions, United Behavioral Health, VA Premier.

Anne Fisher, LPC
1820 Country Club Road
Harrisonburg. VA 22802
Office: 540-434-7025

Specialty: Anxiety, Depression, Family/relationship issues
Fee: $90/initial, $80/ongoing
Insurance: Anthem, Aetna, Cigna, United Healthcare
Other: Bus stop located in front of office (From Godwin, use Rt. 2 bus).

Cynthia Grey, Ed.S., LPC
356 S. Main Street
Harrisonburg, VA 22801
Office: 540-564-0444

Specialty: Alcohol/drug abuse, Anxiety, Bipolar disorder, LQBTQ, Grief/loss, Depression, Relationship
Group: Substance Abuse programs/Treatment Groups  
Fee: $100/initial, $80/ongoing, $50/self pay
Insurance: BCBS, Cigna, Magellan, Mamsi, MHNet, United Behavioral Health, United Healthcare, Value Options, Compsych, Coventry  
Other: Bus stop directly in front of building – less than 10 minute walk from SSC.

Journey Counseling Ministries
John Kuebler
Sarah DeBoer, LPC
Lisa Strickler
Jonelle Frost
Mark Sensabaugh, LPC, LMFT
139 N Liberty St., Suite 202 A
Harrisonburg, VA 22801
Office: 540-908-3464 (Voicemail)
www.journeycounselingministries.org

Specialty: Christian focused counseling; areas of interest vary by clinician
Fee: Licensed counselors charge $95/session. Non-licensed and license eligible counselors charge $75/session. We have client assistance funds that a client may apply for.  If approved, client would pay a co-pay of $35 for 6-8 sessions. 
Insurance: Will assist clients with documentation necessary to submit to their insurance for reimbursement
Other:Taking Route 5 of the Harrisonburg Transit System will get you closest to our location. 

Tara Debutts Langston, LPC, CSAC, ADS, CAMS-1
356 South Main Street
Harrisonburg, VA  22801
Office:  540-421-5492

Specialty:  Alcohol/drug abuse, Anxiety: Panic, GAD, OCD, PTSD, Bipolar disorder, Couples/family, Eating disorders, Grief/loss, Personality disorders, Spirituality, Survivors of sexual abuse/assault
Fee:  $100/initial, $80/ongoing, $60/self pay
Insurance: BCBS, Cigna, CompPsyc, Magellan, MHNet, UBH, United, Value Options
Other: Bus stop directly in front of building – less than 10 minute walk from SSC.

Harrisonburg Career Coaching
Kyle Laver, M.Ed., Ed.S, GCDF
250 E. Market St., Suite A-1
Harrisonburg, VA 22801
Office: 540-421-7457
http://www.harrisonburgcareercoaching.com/

Specialty: Career Coaching
Fee: $75/initial, $90/ongoing, offers sliding scale ($60-$75)
WAIT TIME:  One week or less
Other: Office is on corner of Reservoir and E. Market, bus routes 1,2,5,6 is a few blocks west on E. Market St. 

Kristen Loflin, LPC
250 E. Market St., Suite A-2
Harrisonburg, VA 22801
Office: 540-208-1784

Specialty: Alcohol and Drug abuse, Eating Disorders
Fee: $115/ initial, $90/45 min session ongoing
Insurance: Anthem, Cigna, Aetna, Optima
Other: Office is on corner of Reservoir and E. Market, bus routes 1,2,5,6 is a few blocks west on E. Market St.

Newman Ave. Associates
Saranna Rankin, LCSW
Bonita H. Jantzi, LCSW
Sandra L. Weaver (Psychiatric Licensed Mental Health Clinical Nurse Specialist)
Heather Driver, LPC
Rose S. Huyard, LPC
Jenny Kuszyk, LPC
Mercy Souder, LPC
110 Newman Ave
Harrisonburg, VA
Office: 540-434-2800
www.newmanavenue.com/jmu

Fee: $150 initial, $100/ongoing
Insurance: Benchmark system to identify insurance accepted: Phone: (800) 640-9032, www.benchmark-systems.com
Other: Less than 10 minute walk from SSC.         

Janis Norton, LCSW
356 S. Main Street
Harrisonburg, VA 22801
Office: 540-435-1315

Specialty: Neurofeedback; Anxiety, panic, phobias, depression, ADHD, Sleep issues. Alcohol/drug abuse, Anxiety, Bipolar disorder, couples/family, Grief/loss, Personality disorders, Survivors of sexual abuse/assault
Fee: $120/initial, $75/ongoing
Insurance: BCBS, Anthem, United Behavioral Health, Aetna, Cigna
Other: Bus stop directly in front of building – less than 10 minute walk from SSC.

Joseph Pellegrino, Ph.D
481 E. Market St.
Harrisonburg, VA 22801
Office: 540-574-2210

Specialty: Alcohol/Drug abuse, Anxiety, OCD, LD/ADHD, Bipolar disorder, Couples/family, Eating disorders (if monitored by physician) LQBTQ, Grief/loss, Survivors of sexual abuse/assault, Adjustment, Self-harm, Anger management
Fee: $110/initial, $90/ongoing
Insurance: Will work with on an individual basis
Other: Office is located at the corner of E. Market St and Reservoir St. Bus stop for routes 1,2,5,6 is a few blocks west on E. Market St.   

Sentara RMH Behavioral Health
644 University Blvd.
Harrisonburg, VA 22801
Office: 540-564-5100

Specialty: Varies depending upon clinician.
Fee: $130 /initial, $80/ongoing
Insurance: Accepts most insurance, including: Blue Cross Blue Shield, Coventry Health Care, United Health Care, Cigna, Value Options. 

Roland Shank, Jr., Ph.D.
370 Neff Avenue, Unit L
Harrisonburg, VA  22801
Office:  540-433-2858

Specialty: Anxiety, Assessment LD/ADHD, Bipolar disorder, Couples/family, LQBTQ, Grief/loss, Personality disorders, Spiritual, Athletes.  CBT
Fee: $160/initial, $110/ongoing
Insurance: Medicare, Tricare, Anthem, Value Options, Optima, Aetna
Other: Bus stop near Neff Ave @ Evelyn Byrd & University Blvd @ Medical Ave.

Shenandoah Psychological Services, LLC
Cassandra Kennell, Psy.D. 
755 MLK Jr. Way, Suite F
Harrisonburg, VA 22801
Office: 540- 810-1655 

Specialty: Anxiety, Bipolar, Couples/family, LQBTQ, Grief/Loss, Personality, Spiritual concerns, Depression, CBT
Fee: $110
Insurance: Anthem, Aetna, Optima, Tricare (Standard and Prime).

Elizabeth Shoop
370 Neff Ave., Unit L
Harrisonburg, VA 22801
Office: 540-478-5981 
www.elizabethshoop.com

Specialty: Mood Concerns, anxiety, mindfulness, Family of Origin, CBT
Fee: $110/initial; $80/ongoing
Insurance: Aetna, BCBS; Anthem/Highmark, Optima

Maria Smith, Ph.D.
370 Neff Avenue, Unit L
Harrisonburg, VA  22801
Office: 540-433-2858

Specialty: Anxiety, Assessment for LD/ADHD, Couples/family, Spiritual, Survivors of sexual abuse/assault. 
Fee: $160/initial, $110/ongoing
Insurance: Medicare, Tricare, Anthem, MHNet, Optima & Aetna
Other: Near Neff Ave @ Evelyn Byrd & University Blvd @ Medical Ave.

Christine Spilman, LPC
365 S. Main Street
Harrisonburg, VA 22801
Office: 540-246-2449

Specialty: Adjustment Disorder, Anxiety, Adult Child of Alcoholics, Depression, Grief/Loss, Marriage/Couples, Stress Management, Women’s concerns
Fee: $100/initial, $80/ongoing
Insurance: BCBS, Optima Health, Cigna, Ceridian, Aetna, MHNet, UBH, United Healthcare, Value Options, Anthem Healthkeepers Plus
Other: Bus stop right outside.

Springbrook Wellness and Counseling
Lofton Anderson, LPC
133 W. Springbrook Rd, PO Box 898
Broadway, VA 22815
Office: 540-896-7687

Specialty: Adjustment Disorder, Adult Child of Alcoholics, Anger Management, Social anxiety, Autism Spectrum Disorder, Career, Depression, Disability, LGBTQ, Grief, OCD, Personality Disorder, Phobia, Trauma, Men’s issues, women’s issues
Fee: $115/initial, $95/ongoing
Insurance: Aetna, BCBS, Cigna, Coventry, TriCare, Magellan, United, Value Options

Deirdre Staton, LCSW
217 S. Liberty Street, Suite 201
Harrisonburg, VA 22801
Office: 540-820-4396
www.deirdrestaton.com

Specialty: Anxiety, LGBTQ, Grief/Loss, Personality disorders, Survivors of sexual trauma, EMDR, Cultivating Courage and Shame Resilience, Mood Disorders
Fee: $100
Insurance: Can provide clients with documentation to submit to their insurance for reimbursement.

George Swift, LPC
481 E. Market St.
Harrisonburg VA 22801
Office: 540-246-3348

Specialty: Substance and Behavioral (including sexual) Addictions, Anxiety, Depression, Relationship, Decision-making/motivational, Adult Children of Alcoholics, OCD, Trauma
Insurance: Anthem, Optima, Cigna, Aetna, United Healthcare (UBH), HealthNet (MHNet), Tricare, Value Options
Other: Office is located at the corner of E. Market St and Reservoir St. Bus stop for routes 1,2,5,6 is a few blocks west on E. Market St.   

Transitions Counseling
Sean Slevin, LMFT, LPC
250 East Market Street, Suite D
Harrisonburg, Virginia 22801
Office: 540-908-2045
www.transitionsmft.org

Specialty: Counseling tailored to each client's Personality. A Christian perspective characterized by Compassion and Hope. A Neurobiological understanding of Lasting Change. Depression, Anxiety, Anger, Loneliness, Grief/Loss, Stress, Life Transitions, Vocational Decisions, Low Self-Esteem, Eating Disorders, Compulsive Behaviors, Communication.
Fee: $40/initial, $80/ongoing
Insurance: Can provide clients with documentation to submit to their insurance for reimbursement.
Other: Visit website to schedule Online.  Office located next to Burger King and across from Urban Exchange (where there is a bus stop), in Downtown Harrisonburg.

Judith Weaver, EdS, LPC
320 S. Main Street
Harrisonburg, VA 22801
Office: 540-433-1291

Specialty: Alcohol/drug abuse, Anxiety, Bipolar disorder, Couples/family, Depression, Domestic Violence, LQBTQ, Grief/loss, Personality disorders, Spiritual concerns, Survivors of sexual abuse/assault
Group: Men’s anger management group
Fee: $80
Insurance: Aetna, BCBS, CompPsyc, Coventry, Magellan, Mamsi, MHNet, TriCare, UBH, United, Value Options, Va Premier, Optima
Other: Located near public library bus stop  

Richard Wettstone, Ed.D
356 S. Main Street
Harrisonburg, VA 22801
Office: 540-434-9430

Specialty: Alcohol and drug abuse, Anxiety, Assessment for ADHD, Bipolar, LQBTQ, Grief and loss, Survivors of sexual trauma, PTSD, Hypnosis to quit smoking, Athletic performance
Fee: $80/initial, $75/ongoing
Insurance: Blue Cross Blue Shield, Anthem, Aetna, Cigna, United, Magellan
Other: Bus stop directly in front of building – less than 10 minute walk from SSC.

Phil Whickline, Ph.D
Licensed Clinical Psychologist
250 E. Market St., Suite D
Harrisonburg, VA 22801
Office: 540-307-4944

Specialty: Practice limited to Assessment
Fee: $150/initial, $100/ongoing
Insurance: Will assist clients with documentation necessary to submit to their insurance for reimbursement
Other: Bus stop East Market St @ Mason St (West); East Market St @ Urban Exchange  



Matthew Wikswo, LPC 
250 E. Market St., Suite A
Harrisonburg, VA 22801
Office: 540-746-0416
www.wikswocounseling.com

Specialty: Developmental, Mood disorders, Family dynamics, Substance abuse and recovery, Divorce and grief, athletes, general college concerns, student military, members of military families.
Insurance: Aetna, Anthem/BCBS, MHNet, Optima, Tri care, Valley Health Plan, Value Options
Other: Bus stop directly in front of building – less than 10 minute walk from SSC

Robin Windsor, LPC
755 MLK Jr. Way, Suite F
Harrisonburg, VA 22801
Office: 540-560-2902

Specialty: Anxiety, Couples/family, Grief/loss, Survivors of sexual abuse/assault, interpersonal relationships, academic issues, career choice, depression, adult children of alcoholics  
Fee: $140/initial, $120/ongoing
Insurance: Anthem, Aetna, Optima, Tricare (Standard and Prime)
Other: Bus stop Route 1 and Route 3, near EmergiCare    

 

Resources for Intensive Treatment/Assessment for Eating Disorders

The Center for Eating Disorders At Sheppard Pratt
Physicians Pavilion North, Suite 300
6535 North Charles Street
Baltimore, MD 21204
410-938-5252
EatingDisorderInfo@sheppardpratt.org
www.eatingdisorder.org

Center for the Treatment of Eating Disorders:
570 West Mount Pleasant Ave, Suite 108
Livingston, NJ 07039
973-740-1262

Penn State Hershey Eating Disorders Program
Milton S. Hershey Medical Center
500 University Dr.
Hershey, PA. 17033
717-531-8006
pennstatehershey.org/web/eatingdisorders/home

Renfrew Center for the Treatment of Eating Disorders
Multiple Locations:

Old Greenwich, CT
Coconut Creek, FL
Bethesda, MD
Charlotte, NC
Ridgewood, NJ
New York, NY
Philadelphia, PA
Radnor, PA
Brentwood, TN
Dallas, TX

1-800-RENFREW (1-800-736-3739)
renfrewcenter.com
Notes: All locations accept most insurance plans.

Remuda Ranch
Wickenburg, AZ
Milford, VA
1-800-445-1900
www.remudaranch.com

Resources for Transgender Issues

 

Judith Weaver, EdS, LPC
320 S. Main Street
Harrisonburg, VA 22801
(540) 433-1291


Cypress Counseling, LLC
Chris Carson, LCSW

420 N. 1st Street
Richmond, VA 23219
(804) 651-3941

Phyllis Berg, PhD

7301 Forest Avenue, Suite 201
Richmond, VA 23226
(804) 285-4121

Martha Ann Spruill, LCSW

3500 Kensington Avenue, Suite A3
Richmond, VA 23221
(804) 405-0939

Henry Morris, LCSW, PhD

2008 Bremo Road, Suite 103
Richmond, VA 23226
(804) 282-8282

Jonathan Lebolt, LCSW, PhD

14 S. Auburn Avenue
Richmond, VA 23221
(804) 683-4536