Contact Form
Please complete the information below to contact. If you are not comfortable completing this form feel free to contact me at 502-230-6674.

If you are needing to schedule an appointment, you may request one by viewing Available Appointments here. If you do not see a needed appointment or have additional questions feel free to complete this form or contact me directly to discuss your situation.


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(e.g. city,state - Services may only be provided in Kentucky)
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(Please provide some information about why you are seeking therapy or any other questions you may have)
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I consent to share the above information with Stephen Klump Counseling, LLC. I understand that submitting this form does not make me a client of the practice. I understand that information shared above will only be used for communication purposes to answer question asked or to set up consultation call.
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