Your name
Phone number
What type of services are you seeking? Treatment for MyselfTreatment for My ChildTreatment for Family Member/Loved OneParent Consultation and EducationProfessional Consultation/ReferralTrainingOther (CBT California does not respond to solicitors)
Your email How did you hear about CBT California
How Do You Like to Be Contacted? via Telephone Callvia E-Mail
What times are best to reach you?
City and State: (California residents only). Subject Your message (optional)
I understand and agree that CBT California does not accept any insurance but can provide superbills for potential reimbursement.
6404 Wilshire Blvd. Suite 1020 Los Angeles, CA 90048
21151 S. Western Ave. Suite 271 Torrance, CA 90501
