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Please get in touch!

Please fill out this short questionnaire. Fields marked with an * are required. You will receive an email reply. If you'd like a phone call, please leave your phone number.

Have you ever experienced hypnosis before?
If yes, my experience with hypnotherapy was:
I would like to try hypnotherapy for:
Most Important to me is:

Thanks for submitting!

Contact Information

Terry Biener, CCH

Phone: (516) 791-6174

Email: hypnoshe@aol.com

Address:

53 Brook Road

Valley Stream, NY 11581

By Appointment Only

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