Let’s Talk About It

Ready to set up a free 15-minute consult call to get to know us better? Please fill out the form below and we will be in touch shortly!

Full Name

Preferred Pronouns

Age

Email Address

Phone Number

Which state do you reside in?

Due to licensure requirements, we ONLY see folks living in Pennsylvania or Massachusetts.

Where would you like to meet? (in person vs. telehealth)

What days and times would you be available for a weekly sessions?

Please share a little bit about what you are looking for in therapy.

How did you hear about Authentic Self Therapy Collective?