i live in the state of Kansas

I can only see clients living in the state of KS.

Yes

No

what's your date of birth? (I currently only see clients 18+) *

MM

DD

YYYY

what's your phone number? *

(###)

###

####

how do you prefer I contact you? *

email

phone call

text

what are you interested in learning more about?

rebelcouch

rebeltesting

rebelconsulting

rebelgatherings

I am in network with BCBS and accept private pay clients. *

I plan on using my insurance, BCBS.

I plan on seeing you as a private pay client.