Secure Contact Form

Thank you for taking the time to reach out to Christina! Christina currently has a waiting list that is about 3 months wait.

Your message will be sent to the inbox of Christina G Smith MA, LPC-S, RPT

First name

Last name

Email address

Phone number

Message you would like to send Christina:

What Insurance do you have (Please be specific)? (Company's name, etc. ) Christina is on several insurance panels and Fee based, as well

Client's First Name (if child-under 18 years old)

Client's Last name

Client's Date of Birth

Please provide the Date of birth for the client to be seen

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