Request An Intake Mailles to Wellness BehavioralVirtual Counselingrunyourmailles@maillestowellness.com Client's Name * First Name Last Name Client's Age Phone Number (if a minor, please list guardian's phone number) * (###) ### #### Email (if a minor, please list guardian's phone number) * I'm interested in ... * Please select one session type below Individual Counseling Couples Counseling Academic Discussion/Skill Building Let's Talk ... Teens and Anxiety Let's Talk ... Adults and Anxiety Tell us a little about what has been going on. Thank you for your inquiry. We will be in touch within the next 3 to 4 business days! If this is a medical emergency please seek immediate attention from 911. We unfortunately are not crisis.
