SCHEDULE A COUNSELING SESSION 2001 Westown Parkway #101West Des Moines, IA 50265(515) 657-7919Jill@JKSTherapy.com Please feel free to contact me via phone, email, or through the form below to schedule a counseling session. Name * First Name Last Name Phone * (###) ### #### Email * I would like to start counseling... * Immediately Within 2 weeks Within a month I'm interested in scheduling a counseling session for... * Individual Counseling Couples Counseling Infidelity & Betrayal Trauma Counseling Additional Message (Optional) Please feel free to share any additional information, questions, or comments. Thank you for submitting the consultation form. We will be reaching out soon!