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    3881 Ten Oaks Rd, Ste 2A | Glenelg, MD 21737
    jpiffath.lcpc@gmail.com | (443) 520-1005

  • Jim Piffath

    Counseling for Individuals, Couples & Families

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    Client Forms

    If you are new to the working with me, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

    Client Intake Form

    Information Sheet

    Limits of Confidentiality

    If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

    Authorization for Release of Information

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    3881 Ten Oaks Rd, Ste 2A
    Glenelg, MD 21737

    (443) 520-1005
    jpiffath.lcpc@gmail.com

    Convenient to Glenelg, Columbia,
    Ellicott City, & Western Howard County

    Contact Today

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    Jim Piffath, LCPC
    jpiffath.lcpc@gmail.com | (443) 520-1005

    Counseling services in Glenelg, Columbia,
    Ellicott City, and Western Howard County

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