Credentials, qualifications, and approach to treatment
This Professional Disclosure Statement is provided to inform you about the qualifications, approach to treatment, and policies of Mark Heeringa Counseling, in compliance with Washington State law and professional ethical standards.
Name: Mark Heeringa
Credential: Licensed Mental Health Counselor
(LMHC)
License Number: [License Number - To Be Provided
by Client]
State: Washington
License Status: Active and in good standing
[Education details to be provided by client - typically
includes:]
• Master's degree in Counseling or related field
• Supervised clinical experience
• Ongoing continuing education and professional development
Mark Heeringa Counseling specializes in providing mental health services for adults experiencing:
Treatment is grounded in a client-centered, strengths-based approach that recognizes each individual's unique experiences and inherent capacity for growth. Therapeutic methods include:
Therapy is a collaborative process. You are the expert on your own life, and together we will work to identify your goals, develop effective coping strategies, and create meaningful change. Treatment respects your values, autonomy, and pace of progress.
Clinical records are maintained in accordance with Washington State law and professional standards. Records are kept for a minimum of seven (7) years from the date of last service or, in the case of minors, seven years from the date the client reaches age 18, whichever is longer.
If you have concerns about the services you have received, please discuss them with your counselor directly. If you believe your rights have been violated or wish to file a formal complaint, you may contact:
Washington State Department of Health
Health Systems Quality Assurance
PO Box 47857
Olympia, WA 98504-7857
Phone: (360) 236-4700
Website:
www.doh.wa.gov
If you have any questions about this Professional Disclosure Statement, please contact: