Application Form – Introductory Workshop

To pay by check, please download the application form and mail with the check.

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Faculty

Armin Baier
L.C.S.W., J.D.

Ren Barnebey
M.F.T.

Christine Campbell
M.F.T., A.T.R.

Lynne Jacobs
Ph.D.

Michelle Seely
M.F.T.

Gary Yontef
Ph.D., A.B.P.P.

Pacific Gestalt Institute

1800 Fairburn Ave
Suite 103
Los Angeles, CA 90025
Tel: 323-418-2648