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Initial Form/ Referrals 

Intake referral form:  Dear clients please note that the information below is typically the information we required to be filled to be able to be seen at our office by our Licensed clinicians. Please be ready to provide the following  information to our staff.

Gender
Type of service needed
List of concerns
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Schedule a Free Consultation

Valera Counseling Services, PLLC provides counseling services in a supportive and welcome environment. Contact us in our office in Winston-Salem or Greensboro, North Carolina to request a free consultation. We look forward to working with you.

Contact Information 

Valera Counseling Services, PLLC

Office Phone: (336) 261- 6440

Crisis line and emergency appointment Phone Number: (336) 908-7293


Fax: (336) 232-1436

Email: [email protected]

Website: valeracounselingservices.com 


Visit Our Three Offices Locations:

4680 Brownsboro Rd. Suite A2

Winston-Salem, NC. 27406

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717 Green Valley Rd.  Suite 200 

Greensboro, NC. 27408

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Service Areas

Proudly Serving Clients Worldwide

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