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Intake Form

If you are interested in receiving counseling from Clintonville Counseling and Wellness, please click here to complete our intake form and our Intake Coordinator will be in touch with you shortly.

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Please note: We are not currently accepting new clients under the age of 16.

P: (614)948-7300

F: (614)948-7340

5354 N. High St. Ste 206

Columbus, OH 43214