North Shore Relationship Center
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  • Our Team
    • Alexandra Gleason LMFTAlexandra Gleason LMFT
    • Michelle Parisano, LMFTMichelle Parisano, LMFT
    • Avneet Kaur, LMFTAvneet Kaur, LMFT
    • Jennifer Bruno, LMHCJennifer Bruno, LMHC
    • Amanda Moffettone, LMSWAmanda Moffettone, LMSW
    • Lianne Figueroa, LMFTLianne Figueroa, LMFT
    • Samantha Silverman, LMFTSamantha Silverman, LMFT
    • Kristine Delesparra, LCSWKristine Delesparra, LCSW
    • Victoria Lango, LMSWVictoria Lango, LMSW
    • Anthony Vecchiarello, LMSWAnthony Vecchiarello, LMSW
    • Brianna Pelleteri, MFT-LPBrianna Pelleteri, MFT-LP
    • Dominique Saint Amand, MFT-LPDominique Saint Amand, MFT-LP
    • Jeffrey Donato, LMHCJeffrey Donato, LMHC
    • Al Guerra, MFT-LPAl Guerra, MFT-LP
    • Dana Blackwood, MFT-LPDana Blackwood, MFT-LP
    • Casey Shaw, MFT-LPCasey Shaw, MFT-LP
    • Tyler Sullivan, MFT-LPTyler Sullivan, MFT-LP
    • Michael Dzwil, LCSWMichael Dzwil, LCSW
    • Alison Gallo, MFT InternAlison Gallo, MFT Intern
    • Ashleigh Friedell, MFT InternAshleigh Friedell, MFT Intern
    • Jeanne Lavalley, MFT InternJeanne Lavalley, MFT Intern
    • Sara Pomeroy, MFT InternSara Pomeroy, MFT Intern
    • Ashley Armada, MFT InternAshley Armada, MFT Intern
    • Caroline De Oleveira, MFT InternCaroline De Oleveira, MFT Intern
    • Kelly Conrad Sanchez, LMFTKelly Conrad Sanchez, LMFT
    • Christina McVicar, MFT-LPChristina McVicar, MFT-LP
    • Kaylan Vicente, MFT-LPKaylan Vicente, MFT-LP
    • Rebekah Lee, MFT InternRebekah Lee, MFT Intern
    • Liz Lauricella, LMSWLiz Lauricella, LMSW
    • Lindsey Echevarria, MFT-LPLindsey Echevarria, MFT-LP
    • Alexa Samuelson, MFT-LPAlexa Samuelson, MFT-LP
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Forms

Please fill out the applicable forms below and bring them to your first therapy session. Thank you.
  • Client Intake Form
  • Credit Card Authorization Form
  • Limits of Confidentiality
  • Informed Consent
  • Cancellation Policy

Contact us today to book your appointment

WE CAN HELP YOU ATTAIN THE PERSONAL GROWTH YOU TRULY DESIRE

631-296-1113

BOOK AN APPOINTMENT
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Port Jefferson Location:

1000 Main Street
First Floor, South Suite
Port Jefferson, NY 11777

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Massapequa Location:

727 Broadway
Suite B1
Massapequa, NY 11758

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Contact:

631-296-1113

admin@northshorerelationshipcenter.com

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