Time to Heal Me, LLC
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Alissa Dillon, LCMHC (Licensed Clinical Mental Health Counselor)
Once you have contacted me and we have agreed I will be a good fit for your treatment, please download these forms, type into them, save and email them back.  Thank you!  Don't forget to also text or email me a copy (front and back) of your insurance card.  (978) 857-6549   AlissaD_Dillon@yahoo.com
alissa_dillon_intake_forms.pdf
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