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Tampa Therapy Group LLC Elyssa Barbash Ph. D. Licensed Psychologist LMHC NCC 813-474-9395 Contract for Services It is crucial that you feel comfortable with the therapist you choose. I agree to enter into therapy with the client s as shown by my signature here. Licensed Psychologist PY9610 Licensed Mental Health Counselor MH-11335 Rev6. Printed Name of Client Signature of client Date I Dr. Elyssa Barbash have met with the above referenced client s and informed him or her of the issues and...
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