Frequently Asked Questions

What are your rates?

For 50-minute sessions, I charge $120. For 90-minute sessions I charge $150. It is your decision which length of session would better suit your needs. 

In-person or telehealth?

I am currently a telehealth-only provider at the moment. Once we reach herd immunity, I will be offering in-person sessions again. 

Who do you see?

I primarily work with individuals 18+ who struggle with anxiety, depression, or have experienced trauma

Why can't you accept my insurance?

Because I am an associate, I cannot be paneled with any insurance companies yet. However, most insurance companies have out of network benefits for therapy. Please call the number on the back of your insurance card to learn more about your benefits. Often times, they will reimburse you a percentage of the full rate. You have the option of submitting a superbill, which I would provide, to your insurance for potential partial reimbursement, depending on your benefits.

Do you offer sliding scale services?

I offer limited sliding scale spots on a case by case basis. Please reach out if you are experiencing financial difficulties or are a college student or recent graduate.

How do I pay for sessions?

If you choose to make an initial appointment, there is a credit card authorization form included in the paperwork. Your card will be charged at the time of session.

How many sessions do I need?

Each client's story and needs are unique so it depends. We will decide if weekly or bi-weekly appointments are most fitting for your case. We will have open communication about your progress in therapy, and ultimately you have the freedom to decide when you feel ready to pause.

Can we meet if I'm not in Washington state?

Unfortunately, due to Washington state laws around counseling, the state requires counselors licensed in the state to only meet with clients who themselves are physically located in the state.  

(425) 200-4424

Copyright © 2021 Tend & Refine Counseling, PLLC

Request Appointment