Contact 3 — Healing Harbor Counseling, PLLC

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Referral form: Direct Contact:

Mailing Address: Physical Office Address:

PO Box 2598, Surf City, NC 28445 95 H2O Place, Suite 2 and 3, Hampstead, NC 28445

Social Media:

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Feel free to complete the form with your information, presenting concerns, and questions. We will respond to discuss!

Please note: Online inquiries and submissions are reviewed and responded to on Friday’s.

Name

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Tell us about your needs:

What questions do you have regarding insurance, cost, specialty or availability?

How did you hear about us?

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Referred by medical provider or another therapist

Referred by friend/family member

Referred from school personnel

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