Amy (Berg) Michel, Ph.D.
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Licensed Marriage and Family Therapist
Forms
Please download, print, and complete all the forms and return them to me via e-mail, fax, or US Mail prior to your first session along with a copy of your insurance card if you plan to use insurance to cover the sessions.
4605 NE Fremont St. Suite 210F,
Portland OR 97213 503.998.3415
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