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Richard N. Goodman, LCPC ___360 Therapy 666 Dundee Rd. Suite #1302 Northbrook, IL 60062 8476501995CLIENT AGREEMENT This form requests information about you and contains important information about

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Individuals seeking professional counseling services and therapy to address mental health issues or improve overall well-being.

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Richard Goodman MA LCPC is a licensed clinical professional counselor who provides mental health services and counseling.

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To fill out forms related to Richard Goodman MA LCPC, contact his office for specific intake paperwork or forms required for counseling services.

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