Relationships, Eating Disorders, Gender Identity and Transitioning, LGBTQ Wellness, Mood Disorders, Anxiety, Self-Advocacy, and Adolescents

M. Brett Debney, LPC

Licensed Professional Counselor

Documents

Adult Data Sheet (for Adult clients)

Choose one method to complete the form:

Adult Data Sheet - BY PEN - If you plan to print then complete by hand

      OR

Adult Data Sheet - ON COMPUTER - If you plan to complete on computer then print
    (your firewall may object - follow prompts to accept the download and enable editing)

Bring a completed printout with you to your initial session. Please do not email this document to me.

Child Data Sheet (for Minor clients)

Choose one method to complete the form:

Child Data Sheet - BY PEN - If you plan to print then complete by hand

      OR

Child Data Sheet - ON COMPUTER - If you plan to complete on computer then print
    (your firewall may object - follow prompts to accept the download and enable editing)

Bring a completed printout with you to your initial session. Please do not email this document to me.

Other Documents

Supporting Documents

Certifying/Licensure Agencies

M. Brett Debney, MS, EdS, LPC, NCC

Phone: 336-686-3555

Email: [email protected]

Hours of Operation

Mon-Wed: 10a - 7pm

Thurs: Closed

Fri: 10a - 4p

Sat & Sun: Closed


Address

3707-D West Market Street

Greensboro, NC 27403

3707-D West Market Street, 27403
UA-67394750-1