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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.

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Other Documents
Supporting Documents
Certifying/Licensure Agencies and Memberships

ACA - American Counseling Association
NCBLCMHC - North Carolina Board of Licensed Clinical Mental Health Counselors

    P.O. Box 77819

    Greensboro, NC, 27417

    Phone: 844-622-3572 or 336-217-6007

    Fax: 336-217-9450

    Email: complaints@ncblpc.org

NBCC - National Board for Certified Counselors

M. Brett Debney, MS, EdS, LCMHC, CCMHC

Phone: 336-686-3555

Email: brett@brettdebneylpc.com

Hours of Operation

Mon-Thur: 10a - 7pm

Fri: 10a - 4p

Sat & Sun: Closed

Address

3707 West Market Street, Suite D

Greensboro, NC 27403

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