
| Use this form to contact us for more information about our clinic and services or to request an appointment. |

| PHONE |
| 248.254.3332 Call us for a confidential personal interview with one of our professional staff. |
Northwest Counseling & Psychotherapy Center 30375 Northwestern Highway - Suite 200 (located between Inkster and 13 Mile Roads) Farmington Hills, MI 48334 Phone 248.254.3332 Fax 248.254.3333 Email: northwestcounseling@yahoo.com |