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315 verified Premera Blue Cross Therapists/Counselors in Spokane, WA
Zocdoc verifies all providers before they can appear in Zocdoc search results. Every provider that appears in search is open to new patients.
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Availability last updated 10/13/2026
Availability last updated 10/13/2026
Psychotherapist (Virtual)
5.00
·31 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended ·
Read bio
I am a compassionate and engaging therapist who will create a safe environment for you to discuss your struggles; concerns; and feelings. My work focuses on helping people improve their ability to cope with the challenges and crises of their lives; regain an authentic sense of self and wholeness; gr...Click to read more
Psychotherapist (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
Read bio
I use person centered; cognitive behavioral therapy; dialectical behavioral therapy; and mindfulness approaches to help individuals get where they want to go. I align with you and focus on strengths and resilience to achieve your goals. Together we create a plan that best meets your needs.I work wit...Click to read more
Psychotherapist (Virtual)
5.00
·32 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
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If you find yourself in need of support for anxious feelings; thoughts that just won't go away; or if you have lost someone to passing away or to the transitions of life; therapy can help. As a therapist; I see it as a privilege and honor to meet with people in their most vulnerable moments and meet...Click to read more
Adult Psychiatric & Mental Health Nurse Practitioner (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
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I’m a psychiatric nurse practitioner who provides psychiatric medication management for those facing anxiety; depression; trauma; and life’s everyday struggles. I am not professionally trained to provide in-depth therapy; just supportive therapy. As an immigrant; I understand how challenging it can ...Click to read more
Psychotherapist (Virtual)
4.94
·32 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
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I am dedicated to creating a warm and supportive environment for my clients. In our sessions; you can anticipate a journey of self-discovery; growth; and empowerment. Building a strong therapeutic relationship is at the heart of my practice; as I believe it's the foundation for meaningful progress a...Click to read more
Psychotherapist (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
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We find ourselves out of balance for a variety of reasons. My goal is to help my clients restore balance in their life through a variety of practical coping skills. Clients who come to see me typically are experiencing struggles with depression; anxiety; trauma related symptoms; or symptoms of Borde...Click to read more
Psychotherapist (Virtual)
5.00
·2 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
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As a first-generation and trauma-informed Latinx therapist, I provide evidence-based and compassionate care for teens, young adults and women experiencing and processing loneliness, anxiety and depression. Overwhelming thoughts and emotions often point to deeper pain and trauma. As human beings, we’...Click to read more
Psychotherapist (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
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Welcome; I am currently accepting new clients! Together we will create and environment that is compassionate; supportive and built on a foundation of trust. My therapeutic approach is highly relational; direct; and collaborative with the utilization of multiple therapeutic modalities. My work with a...Click to read more
Psychotherapist (Virtual)
5.00
·45 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended ·
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I am so honored to welcome you to my Talkspace practice. I'm Jeanine Ricchetti, a licensed counselor. I began hearing my first trauma stories from friends at the age of 15. I’ve always been an empathic listener, allowing people to be who they are and to feel what they need to feel in the sacred spac...Click to read more
Psychotherapist (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
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Hello there! My name is Fabian Gonzales. I am glad that you are here seeking support.I have been a practicing mental health therapist since 2007. Within a Cognitive Behavioral Therapy and/or Christian Integrated framework; I strive to balance the emotional; social; cultural; behavioral; and spiritua...Click to read more
Psychotherapist (Virtual)
4.87
·15 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
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Experienced Solution Focused based healthcare professional. Has worked independently as part of multidisciplinary teams with clients of varying multi-cultural and socio-economic backgrounds. Has worked with adults; couples; families; children and adolescents. Proven work ethic; constructive clinical...Click to read more
Psychotherapist (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
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My goal is to help clients let go of the past; define what is important to them; and live a life aligned with their values. I provide the non-judgmental; compassionate space and clinical tools to help process life's challenges. I believe in individualized care tailored to fit each client and their g...Click to read more
Psychotherapist (Virtual)
5.00
·1 review
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended ·
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Hi! My name is Dawn Wann and I am a Licensed Professional Counselor. I have been working in the mental health field for over 13 yrs. Whether you're struggling with work; school; relationships; family; or behavioral concerns; I am here to help you. I know Inviting someone into your most personal spac...Click to read more
Psychotherapist (Virtual)
4.53
·15 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
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My name is Kirk Henderson; and I help individuals and couples find new solutions to old problems; helping them resolve conflicts and creating better ways of communicating. I work with clients experiencing severe anxiety; depression; marital difficulties; and life transitions. I am glad to help you p...Click to read more
Psychologist (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
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Ready to find a therapy that eases symptoms quickly? Dr. Athena Hubbard is a licensed psychologist specializing in psychological assessment; trauma therapy; depression; and adoption-related concerns. She uses EMDR and ART; proven to resolve trauma far faster than traditional approaches; and is certi...Click to read more
Psychotherapist (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
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Welcome to the first steps of improving your mental health. Together we will work on steps to help you gain skills to overcome the challenges you are facing; whether it is communication with co-workers; your partner; or friends; stress related to transitions; or persistent anxiety. I provide a compa...Click to read more
Nurse Practitioner (Psychiatry) (Virtual)
4.80
·5 reviews
Wonderful and professional provider, absolutely recommend. - Mar 19, 2026 by Lacy P.Click to read more
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Excellent wait time ·
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I have over 20 years of professional experience in the healthcare field. My background includes roles as a pharmacy tech; EMT; Corpsman with the USMC; trauma instructor; ICU nurse; nursing home supervisor; corrections nurse; & psychiatric nurse. These experiences have shaped my commitment to deliver...Click to read more
Psychotherapist (Virtual)
5.00
·1 review
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended ·
Read bio
I believe in the power of the individual to heal. I apply a wellness model through an integrated approach; which means; not so much structure that we loose sight of the big picture." This is built on psychoanalytic and existential theories of counseling. Knowledge of one's past experience and develo...Click to read more
Nurse Practitioner (Psychiatry) (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
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I am a Board-Certified Psychiatric Mental Health Nurse Practitioner dedicated to helping people overcome life’s toughest mental health challenges. Whether you’re struggling with anxiety; depression; bipolar disorder; PTSD; OCD; schizophrenia; or stress; I provide evidence-based medication management...Click to read more
Adult Psychiatric & Mental Health Nurse Practitioner (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
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Hi! My name is LaShonda Richards and I am a Psychiatric Mental Health Nurse Practitioner. I am here to help you have the life you have always wanted! Difficult experiences in life can bring up feelings of anxiety; depression; or lack of direction; it can be hard to know what to do. With compassion a...Click to read more
Psychotherapist (Virtual)
4.87
·15 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
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David has been in the mental health field for 15 years in a variety of settings. His style is casual and meeting with him should feel like a conversation with a friend mixed with a bit of humor. He believes people are the experts of their own lives and the role of a counselor is to help them use thi...Click to read more
Psychotherapist (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
Read bio
Hello; I am so glad you are here. I am Jodie; a licensed therapist. I really hope to connect with you to discuss what brought you here. My primary focus is on understanding how situation; events; or triggers impact thinking which then impacts mood. I would really love to talk more with you about you...Click to read more
Psychotherapist (Virtual)
4.94
·16 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
Read bio
Hi; my name is Danielle and I specialize in grief; anxiety; boundaries; life changes; relationships; family conflict; parenting; burnout; self esteem & confidence. Welcome!It took courage to reach out for support.I've been working with people for over 20 years & I consider it my life's mission to he...Click to read more
Psychotherapist (Virtual)
4.96
·46 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
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My name is Mike Swann. My pronouns are he/him. I am a 35-year-old African American licensed mental health counselor living in the Seattle Metro Area. I have 5 years of counseling experience having worked in both inpatient and outpatient settings with clients with a wide range of conditions including...Click to read more
Psychotherapist (Virtual)
5.00
·4 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended ·
Read bio
Cher is a Licensed Mental Health Counselor with over 10 years experience working as a behavioral therapist in local hospitals; schools; and community mental health agencies. Her specialties include Autism Spectrum Disorders; Depression and Anxiety. She is committed to helping clients learn effective...Click to read more
Psychotherapist (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
Read bio
During my time as a college athlete, I learned how helpful it can be to reach out to experts to improve my skills. Therapy is one of those invaluable resources, and I really enjoy helping people of all ages explore their feelings and reach their full potential. I earned my Master's in Counseling fro...Click to read more
Psychotherapist (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
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I have experience working with diverse populations including individuals with substance use; mood disorders; psychotic disorders and personality disorders. I believe in using a strengths-based and trauma-informed approach. I utilize DBT; TF-CBT; CPT and Psychodynamic modalities. I enjoy working coll...Click to read more
Psychotherapist (Virtual)
4.67
·6 reviews
Very easy and fastClick to read more
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Excellent wait time ·
Read bio
My name is Deseriee Ibarra, I am a Licensed Independent Clinical Social Worker. I help teens and young adults who feel overwhelmed by anxiety and depression and are tired of trying to figure things out on their own. Many didn’t get the support or guidance they needed growing up, and now they want to...Click to read more
Psychotherapist (Virtual)
5.00
·2 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended ·
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Hi; I am K. Ross Montour. I am a Licensed Clinical Social Worker and have helped individuals and families overcome the various challenges life presents. I rely on evidence based practices and tailor my services to you. I have developed my clinical skills in settings ranging from hospitals to in a pe...Click to read more
Psychiatrist (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · 25+ years of experience · Offers video visits · Expertise in chronic high blood pressure + 3 more ·
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I am currently working as a psychiatrist and Chief Medical Officer at Active Path Mental Health. We specialize in a non-invasive, FDA-cleared treatment called transcranial magnetic stimulation (TMS) therapy. TMS is indicated for patients with treatment-resistant depression, anxious depression, an...Click to read more
Psychotherapist (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
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I am a LPC and a LMHC. I graduated in 2016 from Angelo State University with a MS in Counseling Psychology. I have worked with a wide range of concerns including depression; anxiety; trauma; and SUD. I believe in treating everyone with dignity & respect. I approach issues with sensitivity & compassi...Click to read more
Nurse Practitioner (Psychiatry) (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
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I’m Dr. Dorothy; a board-certified nurse practitioner. I provide holistic mental health care & wellness services. What does that mean for you? It means I don’t just hand out pills without understanding the root cause of your symptoms. We’ll talk about what’s going on in your life; your environment; ...Click to read more
Psychotherapist (Virtual)
5.00
·2 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended ·
Read bio
Throughout life problems may arise; that catch you off guard. Our challenge in therapy is to find resolution that we can accept and use as a foundation for growth and development. Feelings of self doubt and lack of confidence are core struggles experienced by many. Together; in therapy; these feelin...Click to read more
Psychotherapist (Virtual)
4.75
·4 reviews
I would say everything was about as perfect as a first “getting to know you” appointment would go. It was a great hour of therapy! She didn’t talk about money in a specific way and was a very very very down to earth listener who heard every word that came out of my mouth. I’m very critical and skept...Click to read more
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Excellent wait time ·
Read bio
I am a Licensed Mental Health Counselor specializing in the treatment of trauma, anxiety, depression, relationship issues, and other life difficulties. I hold a PsyD in Clinical Psychology and a Master's in Clinical Psychology from Pacific University, a Master's in Marriage and Family Therapy from S...Click to read more
Psychotherapist (Virtual)
4.40
·15 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
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I practice a collaborative and curious approach to therapy. It is important to understand how your life has been shaped and where you want to change. I believe in an empathic style of therapy; but also recognize it is my job to help you acknowledge difficult fears or struggles. Using a systemic outl...Click to read more
Adult Psychiatric & Mental Health Nurse Practitioner (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
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Hello! I'm a board certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with over 8 years of clinical practice. My practice is rooted in compassionate; evidence-based care that focuses on creating a safe and collaborative space for you to feel heard and supported. My approach blends medica...Click to read more
Psychotherapist (Virtual)
4.93
·15 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended ·
Read bio
Are you feeling stuck in patterns shaped by past trauma, anxiety, or difficult life experiences? I provide a warm, supportive space where your story matters. It is my goal to help clients build resilience, reclaim their voice and feel more in control of their lives. Together, we will work to restore...Click to read more
Psychologist (Virtual)
5.00
·1 review
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended ·
Read bio
Join us in therapy to heal and grow by addressing relationships; fostering forgiveness; and building assertiveness and boundaries. Through talk and experiential therapies; we approach challenges with respect; compassion; and hope. I honor your values and beliefs; creating a supportive space for grow...Click to read more
Psychotherapist (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
Read bio
Life can be confusing; challenging; and overwhelming. It can also be filled with happiness; peace; and excitement. Sometimes the happiest times can even be confusing! I can help you learn and grow through difficult times so you can have more periods of peace and happiness. In over two decades of pro...Click to read more
Adult Psychiatric & Mental Health Nurse Practitioner (Virtual)
4.60
·10 reviews
Stephanie has truly been a huge help in my journey, and I appreciate everything about her care. by BSClick to read more
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
Read bio
I am a Psychiatric Mental Health Nurse Practitioner with advanced graduate education from Gonzaga University and clinical training across the lifespan. My practice is grounded in evidence-based care, combining psychopharmacology with therapeutic interventions to support optimal outcomes. I practice ...Click to read more
Psychotherapist (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
Read bio
I am a licensed therapist with extensive experience in supporting individuals on their journey toward emotional well-being and personal growth. My practice is grounded in empathy; evidence-based approaches; and a deep commitment to helping others navigate life’s challenges. My goal is to create a sa...Click to read more
Psychotherapist (Virtual)
5.00
·6 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
Read bio
Hello there! My name is Christina; and I am Licensed Clinical Social Worker. My passion remains in providing individual therapy in a safe and healing space by joining with you on this journey. Whatever brings you into considering the therapy as a tool for improving your quality of life; my role is t...Click to read more
Psychotherapist (Virtual)
5.00
·45 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended ·
Read bio
When our family and personal lives get complicated and overwhelming we need a safe and supportive space to process our emotions and experiences. I am honored to be able to join you in working to find a path towards health and healing so that you and can live your best life. I would describe myself a...Click to read more
Psychologist (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
Read bio
*We are not able to treat substance abuse or mental health crises, nor do we prescribe medication. Our practice only provides therapy for non-acute (i.e. non-emergency) situations.* Dr. Fleischman is a Licensed Psychologist, with a Doctorate in Psychology (PsyD) from Widener University’s Institute ...Click to read more
Psychotherapist (Virtual)
5.00
·45 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended ·
Read bio
Hi! I am so glad you are here. I am a Licensed Mental Health Counselor. I have a wide variety of experience including working in substance abuse rehabilitation; private practice; crisis stabilization; and inpatient psych. My therapeutic approach is meeting my clients exactly where they are at. I mee...Click to read more
Psychotherapist (Virtual)
5.00
·14 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended ·
Read bio
Welcome to Talkspace! I’m so glad you have chosen to take this first step in seeking support. Whether you want to navigate difficulties in your life; repair relationships; or build a strong foundation - I am here to help! My approach to therapy is collaborative and integrative. I utilize multiple ev...Click to read more
Nurse Practitioner (Psychiatry) (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
Read bio
Chelsia Burkes-Brown is a Board-certified Psychiatric-Mental Health Nurse Practitioner with over eleven years of nursing experience in diverse settings, including inpatient psychiatric care across the lifespan. She is dedicated to providing competent and compassionate care to her clients and values ...Click to read more
Psychotherapist (Virtual)
4.93
·45 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended ·
Read bio
I know that life can sometimes be challenging. I believe that we all can benefit at times from working with a counselor to find the answers that work best for us. I received my Bachelor's degree in Psychology from the University of Idaho and my Master's degree in Clinical Counseling from the Univers...Click to read more
Psychotherapist (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
Read bio
Greetings! I am a licensed therapist working in the Yakima Valley. I have experience treating anxiety/stress; relationship concerns; PTSD; and OCD. I am an lgbtqia+ affirming therapist. I believe you're the expert of your own life. A session with me typically looks like a warm; safe environment wher...Click to read more
Psychotherapist (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
Read bio
My name is Crystal. I am a licensed marriage and family therapist passionate about helping people. With a deep commitment to assisting individuals and families; I excels in guiding them through challenges and fostering healing. My strengths lie in an empathetic approach and dedication to facilitatin...Click to read more
Psychotherapist (Virtual)
4.97
·31 reviews
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits · Highly recommended · Excellent wait time ·
Read bio
Licensed Marriage and Family TherapistLicensed Substance Use Disorder ProfessionalCertified Sex Addiction TherapistCertified Partner Trauma TherapistCertified EMDR Therapist Certified Multiple Addiction TherapistSpecializing in grief; trauma and addiction providing resources for those suffering from...Click to read more
Psychotherapist (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
Read bio
Hello! My name is Kristine San Mateo-Virgen; and I am a Licensed Marriage and Family Therapist with nearly 10 years of experience helping individuals and couples navigate anxiety; depression; trauma; and relationship challenges. Licensed in California; Washington; Hawaii; and Nevada; I bring a compa...Click to read more
Nurse Practitioner (Psychiatry) (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
Read bio
Life can feel overwhelming—I’m here to help you find clarity; resilience; and lasting well-being. I’m Monika Delyser; a board-certified Psychiatric Mental Health Nurse Practitioner. I provide compassionate; culturally sensitive psychiatric care for adults experiencing burnout; anxiety; mood disorder...Click to read more
Adult Psychiatric & Mental Health Nurse Practitioner (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
Read bio
Mary Nelson is a board-certified psychiatric nurse practitioner with experience caring for individuals with both acute and long-term mental health needs. She is passionate about creating a safe, supportive space where patients feel heard and understood. Drawing on a blend of clinical expertise and c...Click to read more
Adult Psychiatric & Mental Health Nurse Practitioner (Virtual)
Cusick, WA
In-network · Premera Blue Cross
Accepting new patients · Offers video visits ·
Read bio
I am a Psychiatric Nurse Practitioner committed to providing empathetic; high-quality care in a safe; supportive environment. I work closely with my clients to address their mental health needs through personalized medication management and guidance. With a focus on collaboration and respect; I stri...Click to read more
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Doctor
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Verified providers with a 4.8 average rating

Primary Care Physician
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In the business of finding quality care for patients

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Frequently asked questions

How many recent appointments have been booked with therapist / counselors in Spokane, WA who accept Premera Blue Cross?

Recently, 2 appointments have been booked with therapist / counselors in Spokane, WA who accept Premera Blue Cross.


How do patients rate their experience with booking therapist / counselors in Spokane, WA on Zocdoc?

On Zocdoc, therapist / counselors in Spokane, WA have an average rating of 4.90 based on approximately 4 reviews. In Spokane, WA you can find 484 therapist / counselors with 4-stars or higher. Zocdoc collects reviews from real patients after each appointment, ensuring authentic feedback. Only patients who have booked and attended appointments may post reviews, providing trustworthy and reliable insights into patient experiences.


Can I book a video visit with a therapist / counselor?

Yes, you can book a video visit with a therapist / counselor. There are currently no locations that offer video visits in this city. When a provider offers video visits, you will see a small video camera icon next to their profile image. Select a date and time from their available appointment slots and go through the booking process.


Zocdoc›Therapists/Counselors›Spokane, WA›Premera Blue Cross