Full payment is required at the beginning of each session.  I accept cash, credit card (Visa, MasterCard, Discover, and American Express), or checks for services rendered.  I do not accept insurance reimbursement at this time; however, I am happy to provide you with a superbill that you can submit to your insurance company for reimbursement.  

Karla Coughenour MA, RDN, LDN, LPCA

 Professional Counseling on the Outer Banks for all ages