Professional Counseling Retreat Facilitation Counselor Supervision deep ecology contact


Download Disclosure Statement

Please print, read and sign for your appointment
Counselor Supervision Form
Michael

Michael Sullivan, LPC, CAAC, NCC
Holistic Counselor
3890 Charlevoix Ave. Suite 340
Petoskey, MI 49770
(231) 838-7155
Fax: (231) 622-8239
Email Bear River Health

Michael Sullivan, LPC, CAAC, NCC is a fully licensed professional counselor in the state of Michigan. This license (LPC) permits professional counselors to conduct psycho-therapeutic interventions and assessments for individuals, groups, and families. Michael is also certified as an Advanced Addictions Counselor (CAAC) by the Michigan Certification Board for Addiction Professionals and the International Certification and Reciprocity Consortium. Michael is a nationally certified counselor and is a member of the Michigan Counseling Association and the American Counseling Association.

Instructions for FIRST TIME clients:

1. Read and sign DISCLOSURE STATEMENT, bring to appointment

2. Please fill out the CLIENT INTAKE FORM appropriately.
ADULT INTAKE FORM
or
CHILD INTAKE FORM (Under 17)

3. Bring completed forms, accompanied by initial 1st appointment fee, $90. Bear River Health accepts check, money order and cash, due at time of service.

“What a new person she became…more engaging and friendly” Mother of a 17 year old girl

“My son is terrific and it is all because of you”. Mother of a sixth grade boy

© 2011 Bear River Health; Michael Sullivan, LPC, CAAC, NCC. All rights reserved.