Eating Disorders, Gender Identity and Transitioning, LGBTQ Wellness, 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

Other Information

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