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Adult Intake Packet

Child/Adolescent Intake Packet

1231 Park Place NE Suite L

Cedar Rapids, IA 52402

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www.cedarvistacounseling.com

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amy@cedarvistacounseling.com

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319 804-8515

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Correspondence address:

PO Box 377 Walford, IA 52351

Mon - Thurs: 4pm - 7pm

​​Saturday: 8am - 12pm (2nd and 4th Saturdays)

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