Let’s connect.

Use the form below to tell us more about how we can help you. We will be in touch within 24 business hours to match you with a provider.

If you’re unsure or have additional questions, we provide a 20 minute complimentary consultation prior to starting services.

351 Rolling Oaks Drive, Suite 206

Thousand Oaks, California 91361

818.917.6596

info@villagewellnesscounseling.com

Name

First Name

Last Name

Phone

(###)

###

####

Are you looking for yourself or a minor?

Are you looking for in-person or telehealth appointments?

Insurance Company

What are you hoping to work on in therapy?

Are you hoping for a particular provider?

Whats days and times are you hoping for?

Is there any else we should know?

351 Rolling Oaks Drive, Suite 206
Thousand Oaks, California 91361

By appointment only

Phone
(818) 917-6596

Email
referrals@villagewellnesscounseling.com

Don’t worry, we don’t spam :)