

I'm Meagan Ciesluk, MS, LMFTA and Mental Health Professional Counselor in Washington, practicing as PNW Therapy & Coaching, PLLC. I offer telehealth individual and couples therapy for adults across Washington, with a focus on communication, conflict cycles, intimacy, ADHD, anxiety, PTSD/complex trauma, and identity development. My background spans residential/PHP mood and anxiety care, family therapy, eating-disorder programming, and sex-positive intimacy work. Published fees...
Individual therapy (50 min)
Published individual session fee (insurance plans also accepted as listed).
Couples therapy (50 min)
Published private-pay couples session fee.
Insurance
Publicly lists Aetna, Cigna/Evernorth, Premera, Regence, UnitedHealthcare; Kaiser noted out-of-network.
LMFTA
Based in Seattle, WA. Appointments available virtually and in the local area where offered.
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Individual sessions are $130 for 50 minutes and couples sessions are $200 for 50 minutes when paying privately, as published on my services page.
I am in-network with many providers including Aetna, Cigna/Evernorth, Premera, Regence, and UnitedHealthcare. Coverage and copays vary—confirm your plan. Most insurers do not cover couples counseling.
All sessions are telehealth via HIPAA-compliant Google Meet or Zoom. I do not currently offer in-person therapy.
Adults 18+ for individual therapy, and couples navigating communication, betrayal repair, intimacy, and related concerns.
Email meagan@pnwtherapyandcoaching.com or call 206-745-2282. Contact form: pnwtherapyandcoaching.com.
Systemic and strengths-based work drawing from IFS, Gottman, DBT, emotion-focused therapy, narrative therapy, and sex therapy as fitting.
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