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Flat fee for letters of recommendation is $200 and includes document review, one session and the letter.

Sex therapy is a short-term form of counseling, generally involving five to 20 sessions with a sex therapist.

He also can remotely monitor your hormone levels if you go to a local lab and send him the blood test results. Melissa Leonhardt offers e-therapy chat sessions at $40 USD for each 45 minute to 1 hour session.

Bushong conducts his therapy sessions over the phone.

Peveller will conduct therapy sessions with you online via a secured instant messenger. He offers a discount rate of $35 USD per hour session for those who don't have much money. Marnee works in an affirming, collaborative manner, follows WPATH standards of care, and creates a safe and non-judgmental space for her clients to explore what feels most authentic for them. Shawn Mc Gill conducts her therapy sessions either by Skype ( or on the phone.

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