Contact — Mind Matters

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About us | HRSA Site

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About us | HRSA Site

Insurance - Sliding Fee - Cash Pay

About us | HRSA Site

Insurance - Sliding Fee - Cash Pay

Contact us:

Katrina@mindmatters360.com
Savannah@mindmatters360.com
208-771-7284

Idaho:
1875 N Lakewood Dr, Suite 101
Coeur d’Alene, ID. 83814

Located in the heart of Coeur d’Alene in Riverstone

Name of Prospective Client *

First Name

Last Name

Email *

Name of Parent/Guardian/Contact

Date of Birth *

How did you hear about us?

How did you hear about us? (Please be as specific as possible—if you were referred by a doctor, school counselor, provider, or another professional, let us know! We also love to know if you found us through social media, Facebook, Family, Friend, an online search, or another source so we can thank those who refer clients to us.

What are you seeking support with?

Checkbox

Anxiety

Depression

Stress Management

Obsessive Compulsive Disorder ( OCD )

Grief/Loss/Bereavement

Relationship Issues

Couples Counseling

Trauma

Post Traumatic Stress Disorder ( PTSD )

School/ Acedemic Issues

Suicidal Ideation

Personality Disorders

Bipolar

DUI Evaluation

SUD Evaluation

Court Ordered

Diagnostic Evaluation for Diagnosis

Disability

GROUP therapy

Medication Management

Other

Thank you!

Locations:
Idaho
1875 N Lakewood Dr, Suite 101
Coeur d’Alene, ID 83814
Washington
1420 N Mullan Ste L-7
Spokane Valley, WA. 99206

Contact Us:

Call: 208-771-7284
Fax: 208-625-2076