Professional Disclosure Statement

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.

Professional Credentials and Qualifications

License Information

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 and Training

[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

Areas of Specialization

Mark Heeringa Counseling specializes in providing mental health services for adults experiencing:

Depression
Anxiety Disorders
Trauma and PTSD
Life Transitions
Grief and Loss
Stress Management

Approach to Counseling

Theoretical Orientation

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:

  • Cognitive-Behavioral Therapy (CBT): Identifying and changing negative thought patterns and behaviors
  • Mindfulness-Based Techniques: Developing present-moment awareness and acceptance
  • Trauma-Informed Care: Creating safety and empowerment for individuals with trauma histories
  • Solution-Focused Brief Therapy: Emphasizing strengths and achievable goals

Philosophy of Care

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.

Your Rights as a Client

  • To be treated with respect and dignity at all times
  • To receive services in a confidential and safe environment
  • To ask questions about your treatment at any time
  • To participate actively in treatment planning and decision-making
  • To discontinue services at any time without penalty
  • To access your clinical records (with certain limitations)
  • To request a referral to another provider if needed
  • To file a complaint with the Washington State Department of Health if you believe your rights have been violated

Record Retention

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.

Filing a Complaint

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

Questions About This Disclosure

If you have any questions about this Professional Disclosure Statement, please contact:

Mark Heeringa Counseling

1200 Chesterly Dr STE 250, Yakima, WA 98902

Phone: (509) 248-0840