Take the leap. Contact us. slrichmond@ardenshoresmn.commwetli@ardenshoresmn.com mcleveland@ardenshoresmn.comtdegen@ardenshoresmn.com ereil@ardenshoresmn.comefleming@ardenshoresmn.comoffice@ardenshoresmn.comP: (651) 583-5565F: (651) 583-55662151 Hamline Ave N, Suite 200Roseville, MN 55113 Name * First Name Last Name Client's Age * Young Child 0-5 Child 6-10 Adolescent 11-17 Young adult 18-25 Adult 25+ Family Couple Preferred Provider * Shannon Maria Melanie Taylor Ericka Elizabeth Email * Preferred Payment Type * Insurance type, EAP, self-pay or other Message * Type of sessions No preferrence In person Telehealth (video) Thank you!