Aetna Therapists in Lafayette, CA
![Photo of Mary B Dockter, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/bf506e3b-b88c-4e31-bd73-1d2cf627ad0e/5/320x400.jpeg)
Mary B Dockter
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lafayette, CA 94549 (Online Only)
Life isn’t always easy. Sometimes it feels overwhelming, and when it does, we all deserve help and support. Regardless of what you're struggling with, together we can work to equip you with the necessary tools to help you face and overcome your challenges. There is hope for a better tomorrow.
Life isn’t always easy. Sometimes it feels overwhelming, and when it does, we all deserve help and support. Regardless of what you're struggling with, together we can work to equip you with the necessary tools to help you face and overcome your challenges. There is hope for a better tomorrow.
![Photo of Sharlene Hanaway, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/b70f55ea-bbe9-4ca5-9e7a-c58b000570dc/1/320x400.png)
Sharlene Hanaway
Marriage & Family Therapist, LMFT
Verified Verified
Lafayette, CA 94549 (Online Only)
Hello, and Thank You for reading my profile! My name is Sharlene Hanaway. I have been a Licensed Marriage and Family Therapist for many years. During that time, I have worked with many clients who have been deeply challenged by their life circumstances and everyday issues. My clients have tried many different ways to help themselves but need fresh eyes and someone who can help them change their perspectives about the things they can change and let go of the things they can not change. It is a collaborative relationship where we find what works for you!
Hello, and Thank You for reading my profile! My name is Sharlene Hanaway. I have been a Licensed Marriage and Family Therapist for many years. During that time, I have worked with many clients who have been deeply challenged by their life circumstances and everyday issues. My clients have tried many different ways to help themselves but need fresh eyes and someone who can help them change their perspectives about the things they can change and let go of the things they can not change. It is a collaborative relationship where we find what works for you!
![Photo of Nicolle Danielle Tissot, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/8a1c02d0-abef-49b7-98d2-7bbdb01b7f12/2/320x400.jpeg)
Nicolle Danielle Tissot
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Lafayette, CA 94549
Struggling with anxiety, depression, low self esteem or negative self talk? Looking for a supportive, caring and empathetic therapist? Life can be challenging and even unfair at times, as life continues to move forward we may be activated or stuck as things from the past, future and present resurface in a way that feels unmanageable on your own. I work with clients to walk along that path with them as we explore what has brought them to therapy and together create meaning, process challenging events from the past, create insight, create new ways of coping, overall self growth, and positive change for the present and future.
Struggling with anxiety, depression, low self esteem or negative self talk? Looking for a supportive, caring and empathetic therapist? Life can be challenging and even unfair at times, as life continues to move forward we may be activated or stuck as things from the past, future and present resurface in a way that feels unmanageable on your own. I work with clients to walk along that path with them as we explore what has brought them to therapy and together create meaning, process challenging events from the past, create insight, create new ways of coping, overall self growth, and positive change for the present and future.
![Photo of Samantha Schaefer, LCSW, PMH-C, Clinical Social Work/Therapist](https://photos.psychologytoday.com/16cb6a78-e5ec-401b-a9d4-949d85abda9d/3/320x400.jpeg)
If you've ever felt like you should be happier, doing more or coping better, I can help. I work with adults and teens who are feeling stuck in depression and anxiety, but are ready to move forward and make sustainable changes. I have specialized training in perinatal mental health, including postpartum depression and anxiety, and practice trauma-informed treatment, including EMDR. We'll work together to rediscover your authentic sense of self, learn tools that help you navigate challenges, and live your life more fully. You don’t have to face hard things alone.
If you've ever felt like you should be happier, doing more or coping better, I can help. I work with adults and teens who are feeling stuck in depression and anxiety, but are ready to move forward and make sustainable changes. I have specialized training in perinatal mental health, including postpartum depression and anxiety, and practice trauma-informed treatment, including EMDR. We'll work together to rediscover your authentic sense of self, learn tools that help you navigate challenges, and live your life more fully. You don’t have to face hard things alone.
![Photo of Danielle Hetrick, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/2416199a-5440-4ac8-8715-dc2d922776ad/1/320x400.jpeg)
Danielle Hetrick is a licensed Marriage Family therapist in California practicing since 2002. She received her Bachelor of Arts in psychology at Saint Mary's College and her Masters in Counseling psychology at John F. Kennedy University. Danielle believes in a comprehensive approach to care integrating different modalities fostering vivid self exploration and healing. Danielle has a special interest in teaching coping strategies for ongoing self empowerment. In her spare time Danielle enjoys being in nature, being physically active, hiking with her husband and daughter and has a special interest in ocean conservation.
Danielle Hetrick is a licensed Marriage Family therapist in California practicing since 2002. She received her Bachelor of Arts in psychology at Saint Mary's College and her Masters in Counseling psychology at John F. Kennedy University. Danielle believes in a comprehensive approach to care integrating different modalities fostering vivid self exploration and healing. Danielle has a special interest in teaching coping strategies for ongoing self empowerment. In her spare time Danielle enjoys being in nature, being physically active, hiking with her husband and daughter and has a special interest in ocean conservation.
![Photo of Joseph Koudsi, PsyD, Psychologist](https://photos.psychologytoday.com/be3aac99-b3c9-421a-9d6a-7eb0151c6f31/1/320x400.jpeg)
Joseph Koudsi (preferred name Johnny) is a psychologist, who has been practicing since 2008. He graduated from Vassar College with a BA in Psychology and the California School of Professional Psychology at Alliant University with a doctorate (Psy. D. ) in Clinical Psychology, with a speciality in Adult Individuals and Couples. Therapy is an experience specific to the individual, which is why I use techniques rom various schools of thought to help individuals and couples to the best of my ability. These include psychodynamic, solution-focused, emotionally focused therapy (EFT), and cognitive behavioral.
Joseph Koudsi (preferred name Johnny) is a psychologist, who has been practicing since 2008. He graduated from Vassar College with a BA in Psychology and the California School of Professional Psychology at Alliant University with a doctorate (Psy. D. ) in Clinical Psychology, with a speciality in Adult Individuals and Couples. Therapy is an experience specific to the individual, which is why I use techniques rom various schools of thought to help individuals and couples to the best of my ability. These include psychodynamic, solution-focused, emotionally focused therapy (EFT), and cognitive behavioral.
![Photo of Jonathan Goode, PsyD, Psychologist](https://photos.psychologytoday.com/b58f6c8a-8cbe-42f3-8329-a2ae82df00fb/1/320x400.jpeg)
I am a licensed clinical psychologist with experience treating a wide variety of mood, anxiety, and trauma-related problems. I have experience working with adults 18 and older who are suffering from depression, anger, PTSD, addiction, sleep problems, anxiety, and life adjustment issues. I primarily use cognitive-behavioral treatments to help people overcome these issues. My objective is to allow you to achieve your goals whether that means improving your overall wellbeing, being more successful in your personal life or at work, or better managing an area in which you struggle.
I am a licensed clinical psychologist with experience treating a wide variety of mood, anxiety, and trauma-related problems. I have experience working with adults 18 and older who are suffering from depression, anger, PTSD, addiction, sleep problems, anxiety, and life adjustment issues. I primarily use cognitive-behavioral treatments to help people overcome these issues. My objective is to allow you to achieve your goals whether that means improving your overall wellbeing, being more successful in your personal life or at work, or better managing an area in which you struggle.
![Photo of Sally Millsap, Clinical Social Work/Therapist](https://photos.psychologytoday.com/25ff8dc6-7ed1-4b01-8e0c-0532c87ddef1/2/320x400.png)
Hello, my name is Sally. I have my LCSW from the State of California. I have my Masters in Social Work and a Minor in Psych. I have worked in the hospital setting for over 38 years. I enjoy working with diverse cultures. My hospital experience has given me the opportunity to work with children, youth and adults.
Hello, my name is Sally. I have my LCSW from the State of California. I have my Masters in Social Work and a Minor in Psych. I have worked in the hospital setting for over 38 years. I enjoy working with diverse cultures. My hospital experience has given me the opportunity to work with children, youth and adults.
![Photo of Miles Hedgpeth, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/5376229c-221e-4643-b94f-a493ff633de5/1/320x400.jpeg)
Miles Hedgpeth Is A Licensed Marriage And Family Therapist In California Who Has Been Practicing Since 2015. He Has An Ma In Counseling Psychology. Miles Was Born In Geneva, Switzerland And Grew Up In San Francisco. He Decided To Become A Therapist After Spending Five Years Working As A Counselor For A Foster Child And Worked With This Individual From Age 13 Until His Emancipation At Age 18. Miles Has Worked With Diverse Populations All In The Bay Area. With More Than A Decade Of Experience, Miles Has Found That Acceptance Of Emotions Is The Most Prominent Tool In Psychotherapy.
Miles Hedgpeth Is A Licensed Marriage And Family Therapist In California Who Has Been Practicing Since 2015. He Has An Ma In Counseling Psychology. Miles Was Born In Geneva, Switzerland And Grew Up In San Francisco. He Decided To Become A Therapist After Spending Five Years Working As A Counselor For A Foster Child And Worked With This Individual From Age 13 Until His Emancipation At Age 18. Miles Has Worked With Diverse Populations All In The Bay Area. With More Than A Decade Of Experience, Miles Has Found That Acceptance Of Emotions Is The Most Prominent Tool In Psychotherapy.
![Photo of Marissa Mannina, PsyD, Psychologist](https://photos.psychologytoday.com/d4cc2ca5-c228-43b1-ba2a-8818510089da/1/320x400.jpeg)
Dr. Mannina is a clinical psychologist who has been practicing for over fifteen years. She graduated from Sofia University (formerly Institute of Transpersonal Psychology). Dr. Mannina believes in humanistic care that includes psychodynamic work and as needed CBT, DBT or other modalities that may be useful to each unique individual she works with. Formerly an artist, and licensed massage therapist, Marissa also enjoys the connection between creativity and life as art, somatic and cranio-sacral therapies.
Dr. Mannina is a clinical psychologist who has been practicing for over fifteen years. She graduated from Sofia University (formerly Institute of Transpersonal Psychology). Dr. Mannina believes in humanistic care that includes psychodynamic work and as needed CBT, DBT or other modalities that may be useful to each unique individual she works with. Formerly an artist, and licensed massage therapist, Marissa also enjoys the connection between creativity and life as art, somatic and cranio-sacral therapies.
![Photo of Bill Fox, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/55abd9b6-0a3e-4536-9d37-7669544c8cab/1/320x400.jpeg)
Bill Fox is a Licensed Clinical Social Worker in California who has been practicing since 1998. He has a Masters in Social Work. Bill has decades of experience in hospitals, prisons, and with parolees in private practice. He offers psychodynamic/neuropsychiatric point of view, good active listening, and compassion. Bill is excellent at boundary maintenance and understanding. Outside of work, Bill enjoys music, piano, ocean kayaking, hiking, and poetry.
Bill Fox is a Licensed Clinical Social Worker in California who has been practicing since 1998. He has a Masters in Social Work. Bill has decades of experience in hospitals, prisons, and with parolees in private practice. He offers psychodynamic/neuropsychiatric point of view, good active listening, and compassion. Bill is excellent at boundary maintenance and understanding. Outside of work, Bill enjoys music, piano, ocean kayaking, hiking, and poetry.
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![Photo of Mark Fry, PhD, Psychologist](https://photos.psychologytoday.com/7cc5696f-c8eb-47fb-9b3d-a44c609e304d/1/320x400.jpeg)
Dr. Mark Fry is a Psychologist in California who has been practicing since 2003. Dr. Fry helps clients by identifying past wounds and trauma and healing. As a therapist, it is often necessary to walk with them through this process. Dr. Fry believes it is most important for the client to identify that they are capable of healing and moving forward. Outside of work, Dr. Fry enjoys time spent with close friends. As a hobby he has been known to pick a bluegrass banjo. And give him a nice big dog any day of the week
Dr. Mark Fry is a Psychologist in California who has been practicing since 2003. Dr. Fry helps clients by identifying past wounds and trauma and healing. As a therapist, it is often necessary to walk with them through this process. Dr. Fry believes it is most important for the client to identify that they are capable of healing and moving forward. Outside of work, Dr. Fry enjoys time spent with close friends. As a hobby he has been known to pick a bluegrass banjo. And give him a nice big dog any day of the week
![Photo of Sandra Orozco Loza, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/53e6f401-166e-4048-b3fd-17aeecd5da39/2/320x400.jpeg)
Sandra Orozco Loza is a Licensed Clinical Social Worker in California who has been practicing since 2014. She has a Bachelor’s degree in Psychology from the University of California at Santa Cruz, and a Master’s in Social Work degree from San Jose State University. Sandra specializes in working with adolescents and young adults. She has ample experience treating anxiety and depression through CBT and DBT. Sandra has also provided therapy to individuals affected by trauma, OCD, substance abuse, domestic violence, and LGBTIQ issues.
Sandra Orozco Loza is a Licensed Clinical Social Worker in California who has been practicing since 2014. She has a Bachelor’s degree in Psychology from the University of California at Santa Cruz, and a Master’s in Social Work degree from San Jose State University. Sandra specializes in working with adolescents and young adults. She has ample experience treating anxiety and depression through CBT and DBT. Sandra has also provided therapy to individuals affected by trauma, OCD, substance abuse, domestic violence, and LGBTIQ issues.
![Photo of Anna Oconnell, LPCC](https://photos.psychologytoday.com/0b3169ce-b5ef-44bb-a06f-87de5efeb4f2/1/320x400.jpeg)
I am a licensed clinical counselor who specializes in dance movement therapy. I hold a graduate certificate in Laban Movement Analysis, which offers another world of possibilities for methods of healing. While working in the field of psychotherapy I have had the privilege to experience many different types of populations with various and usually multiple presenting issues. My specialized training allows me to see and listen to my clients in a unique way. As your therapist I am here to witness you in this part of your life journey, while helping to maintain a safe space around you as you grow.
I am a licensed clinical counselor who specializes in dance movement therapy. I hold a graduate certificate in Laban Movement Analysis, which offers another world of possibilities for methods of healing. While working in the field of psychotherapy I have had the privilege to experience many different types of populations with various and usually multiple presenting issues. My specialized training allows me to see and listen to my clients in a unique way. As your therapist I am here to witness you in this part of your life journey, while helping to maintain a safe space around you as you grow.
![Photo of Elissa Klein, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e0b62049-5996-4329-b025-9a3bc32ee54d/1/320x400.jpeg)
Elissa's approach to therapy is embodied in the quote by Shunryu Suzuki: Each of you is perfect the way you are... and you can use a little improvement. This means that she will help you to work through any shame you feel about your perceived problems so that you can integrate the self-awareness that you will together uncover. She works with patients either long term or short term, depending on each person's individual goals. She specializes in treating struggles with intimacy/isolation, addiction and compulsive behaviors, impulse control, anxiety, anger management, trauma and sexuality/sexual behavior.
Elissa's approach to therapy is embodied in the quote by Shunryu Suzuki: Each of you is perfect the way you are... and you can use a little improvement. This means that she will help you to work through any shame you feel about your perceived problems so that you can integrate the self-awareness that you will together uncover. She works with patients either long term or short term, depending on each person's individual goals. She specializes in treating struggles with intimacy/isolation, addiction and compulsive behaviors, impulse control, anxiety, anger management, trauma and sexuality/sexual behavior.
![Photo of Alicia Grefenson, PsyD, Psychologist](https://photos.psychologytoday.com/f0b863cd-8277-457a-bba9-8b78fd32d73d/1/320x400.jpeg)
Therapy is a journey of looking inward in order to move onward in your life in a more present, whole-hearted way. I believe deeply that every person has the ability to work through loss, sadness, anxiety and other painful experiences to become more fully alive. When we avoid or numb uncomfortable or difficult feelings, we also numb our ability to feel joy, peace of mind, gratitude and love. Speaking our truths in the presence of empathy, warmth and non-judgement can be the first step towards healing.
Therapy is a journey of looking inward in order to move onward in your life in a more present, whole-hearted way. I believe deeply that every person has the ability to work through loss, sadness, anxiety and other painful experiences to become more fully alive. When we avoid or numb uncomfortable or difficult feelings, we also numb our ability to feel joy, peace of mind, gratitude and love. Speaking our truths in the presence of empathy, warmth and non-judgement can be the first step towards healing.
![Photo of Gina Kwon, PsyD, Psychologist](https://photos.psychologytoday.com/08fd4b7f-7831-4f70-800c-a4ef4a6db961/1/320x400.jpeg)
Gina Yu Kwon is a Clinical Psychologist, who has been practicing since 2016. She received her doctorate from Rosemead School of Psychology at Biola University. Additionally, Gina obtained her Certificate of Psychoanalysis from the Brookhaven Institute in Pennsylvania. Gina works from a psychodynamic approach to help one gain insight and understanding into their conflicts, how one thinks, feels and behaves, and relates with self and others. Her main areas of focus include identity and relational issues, transitions in life, and existential and spiritual issues.
Gina Yu Kwon is a Clinical Psychologist, who has been practicing since 2016. She received her doctorate from Rosemead School of Psychology at Biola University. Additionally, Gina obtained her Certificate of Psychoanalysis from the Brookhaven Institute in Pennsylvania. Gina works from a psychodynamic approach to help one gain insight and understanding into their conflicts, how one thinks, feels and behaves, and relates with self and others. Her main areas of focus include identity and relational issues, transitions in life, and existential and spiritual issues.
![Photo of Deborah Tate, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/20def60f-0cee-49d0-b4ca-d2925b239bd9/1/320x400.jpeg)
Deborah Tate, LCSW I am a Licensed Clinical Social Worker with over 20 years of experience. It takes tremendous courage to reach out for support and therapy can be a way to enhance and build on strengths to move forward to a better more fulfilling sense of self. My approach is to partner with adult individuals and couples to navigate through life transitions and relational issues to regain hope and stabilization in their lives. I utilize a strength-based, psychodynamic, and client centered approach. I believe in meeting my clients in their stage of change, utilizing harm reduction and motivational interviewing when appropriate.
Deborah Tate, LCSW I am a Licensed Clinical Social Worker with over 20 years of experience. It takes tremendous courage to reach out for support and therapy can be a way to enhance and build on strengths to move forward to a better more fulfilling sense of self. My approach is to partner with adult individuals and couples to navigate through life transitions and relational issues to regain hope and stabilization in their lives. I utilize a strength-based, psychodynamic, and client centered approach. I believe in meeting my clients in their stage of change, utilizing harm reduction and motivational interviewing when appropriate.
![Photo of Nicole Hermann-Metzger, PsyD, Psychologist](https://photos.psychologytoday.com/63102d7b-a03f-41bf-b650-f262e3fd7a4e/2/320x400.jpeg)
My approach to therapy is client-centered, meeting each person I work with where they are at using diverse interventions including mindfulness and somatic experiencing techniques. I am a Bay Area native raised in a multicultural household with over 20 years of experience working in a variety of settings throughout Contra Costa and Alameda Counties. I specialize in working with people struggling with: anxiety, ADHD, mood disorders, chronic stress, adjusting to life changes, trauma exposure/PTSD, gender and sexual orientation identity issues, and multicultural stress.
My approach to therapy is client-centered, meeting each person I work with where they are at using diverse interventions including mindfulness and somatic experiencing techniques. I am a Bay Area native raised in a multicultural household with over 20 years of experience working in a variety of settings throughout Contra Costa and Alameda Counties. I specialize in working with people struggling with: anxiety, ADHD, mood disorders, chronic stress, adjusting to life changes, trauma exposure/PTSD, gender and sexual orientation identity issues, and multicultural stress.
![Photo of Amber Pierre, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/ddcd9fbe-eef9-4bcc-99b7-04d4fa97644f/1/320x400.jpeg)
Amber is particularly passionate about addressing childhood behavior issues, PTSD/trauma, and grief. She provides a safe and supportive space for clients of all ages to explore their experiences, uncover underlying issues, and work towards healing. Her dedication to treating children and adolescents is evident in her use of specialized techniques like ChildParent Psychotherapy, which helps young children and their caregivers strengthen their bond while addressing the impact of trauma.
Amber is particularly passionate about addressing childhood behavior issues, PTSD/trauma, and grief. She provides a safe and supportive space for clients of all ages to explore their experiences, uncover underlying issues, and work towards healing. Her dedication to treating children and adolescents is evident in her use of specialized techniques like ChildParent Psychotherapy, which helps young children and their caregivers strengthen their bond while addressing the impact of trauma.
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Does insurance cover therapy, prescriptions and other behavioral health services?
In general, yes. Laws in the U.S. require insurers to cover essential behavioral health care at the same level as other health care services. Most health plans require a medical diagnosis and treatments that are evidence based and medically essential. This means that life coaching and alternative therapies are not covered, nor is therapy without a diagnosis. Call the number on the back or your insurance card or visit your insurance company's website to review your Summary of Benefits. If you have insurance through your employer, your Human Resources department may also be able to answer questions.
How much does therapy cost with insurance?
The cost of therapy depends on your region, how much training and experience your therapist has, and the type of treatment. The rate for talk therapy generally falls between $100 and $250. For a client seeing an in-network provider, the cost of therapy is often similar to the cost of other health care services. Clients pay co-pays and may need to satisfy a plan’s deductible before benefits kick in.
What is the difference between In-Network and Out-of-Network insurance coverage?
An in-network provider has contracted with an insurer to get paid directly for services, and to accept the insurer’s rate of compensation. Clients are responsible for deductibles and copays. If a therapist is out of network, that means that the client pays the therapist directly for services at the therapist’s regular fee. Out-of-Network providers often give clients a receipt so that they can file for partial reimbursement with their insurance company.
Is it difficult to find an In-Network therapist?
It is not unusual for therapists to limit the number of insurance patients in their practice, so it’s important to check in-network availability when you schedule your first appointment. In regions and times where therapy is in high demand it may take longer to get scheduled with an in-network therapist.
What is the difference between HMO and PPO insurance plans?
HMO health plans only cover in-network services, there is no reimbursement for out-of-network providers. PPO plans often cover both in- and out-of-network services, though the client may pay more for out-of-network services.
What is a Superbill?
A superbill is a receipt for therapy services. It provides all the information required by insurance companies to reimburse you for out-of-network services, including the diagnostic codes for your care, the amount paid, and the dates and duration of care.
Does insurance cover Online therapy?
Many therapists who shifted their practice to online therapy during the pandemic have kept that arrangement. And most insurers continue to cover telehealth services, with a few exceptions. Preventive care (such as an annual depression screening) is often required to be in-person to be covered, and some states require prescribers of controlled substances to see those patients in person.
Does insurance cover Group therapy?
Many insurance plans provide coverage for group therapy provided there is a medical diagnosis for group members, but there are some noteworthy exceptions. For example, Medicare does not always cover group therapy. Group therapy tends to cost less than individual therapy.
Does insurance cover Couples therapy?
Most insurance companies do not cover the cost of couples therapy because there is no medical diagnosis or medically necessary treatment. However, a few plans will offer a limited benefit, so it is still worth checking with your insurance company. Sometimes therapy is covered for a couple when one person has a diagnosis and another family member joins them for joint therapy, but it is considered therapy for the medical condition that includes a family member as a listener or helper, not couples counseling. Without insurance, most clients pay between $100-300 per 60-90 min session for couples therapy. Often clients can find classes or workshops that make it more affordable to work on their relationship. And some employers offer Employee Assistance Plans that help defray the cost of couples therapy.
What is an Employee Assistance Plan (EAP)?
Employee Assistance Plans are purchased by employers for the benefit of their employees. EAPs typically assist employees with referrals and may also provide the first few sessions of therapy free of charge, with the patient's regular health insurance kicking in after those initial sessions. EAP benefits often apply to all types of therapy without the need for a medical diagnosis, making it easier to access couples therapy, therapy for life transitions, and other non-medical counseling. Just as with standard health insurance, clients should always check that a provider accepts their EAP benefits before scheduling.
Learn more about Insurance Coverage and Finding Affordable Therapy
Learn more about Insurance Coverage and Finding Affordable Therapy