North Shore Relationship Center
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    • Join Our Team
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  • Our Team
    • Alexandra Gleason, LMFTAlexandra Gleason LMFT
    • Michelle Parisano, LMFT
    • Avneet Kaur, LMFTAvneet Kaur, LMFT
    • Jennifer Bruno, LMHCJennifer Bruno, LMHC
    • Amanda Moffettone, LMSWAmanda Moffettone, LMSW
    • Lianne Figueroa, MFT-LPLianne Figueroa, MFT-LP
    • Samantha Silverman, LMFTSamantha Silverman, LMFT
    • Regina McGuire, LMFTRegina McGuire, LMFT
    • Kristine Delesparra, LCSWKristine Delesparra, LCSW
    • Victoria Lango, LMSWVictoria Lango, LMSW
    • Anthony Vecchiarello, LMSWAnthony Vecchiarello, LMSW
    • Brianna Pelletteri, MFT InternBrianna Pelletteri, MFT Intern
    • Dominique Saint Amand, MFT-LPDominique Saint Amand, MFT-LP
    • Joe Willis, MFT-LPJoe Willis, 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
    • 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
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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
Join Our Team

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

(View Google Map)

Contact:

631-296-1113

admin@northshorerelationshipcenter.com

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