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  • Marino 2022

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    Colleen Hanley, LCSW
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    This document is a statement from Colleen S. Hanley, LCSW, addressed to Susan Perry, listing group psychotherapy sessions and payments from January 2022 through December 2022. It shows the date of each session, charge of $120 per session, amounts paid, and payment method. The total charged is $1,460 and the total paid is $1,500, leaving a balance due of $40.

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    This document is a statement from Colleen S. Hanley, LCSW, addressed to Susan Perry, listing group psychotherapy sessions and payments from January 2022 through December 2022. It shows the date of each session, charge of $120 per session, amounts paid, and payment method. The total charged is $1,460 and the total paid is $1,500, leaving a balance due of $40.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    8 views2 pages

    Marino 2022

    Uploaded by

    Colleen Hanley, LCSW
    This document is a statement from Colleen S. Hanley, LCSW, addressed to Susan Perry, listing group psychotherapy sessions and payments from January 2022 through December 2022. It shows the date of each session, charge of $120 per session, amounts paid, and payment method. The total charged is $1,460 and the total paid is $1,500, leaving a balance due of $40.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Colleen S.

    Hanley, LCSW STATEMENT


    509 Brighton Road
    Collegeville PA 19426
    License # CW015437

    Bill To:
    Name: Susan Perry
    Address:
    City/State/Zip

    Date Description Charge Amount Paid Method


    January Group Psychotherapy – 90853 #119
    $120.00 $120.00
    2022 January 4 & 18
    February Group Psychotherapy – 90853 #126
    $120.00 $140.00
    2022 February 1 & 15
    March Group Psychotherapy – 90853 #139
    $180.00 $180.00
    2022 March 1 & 15 & 29
    April Group Psychotherapy – 90853 #148
    $120.00 $120.00
    2022 April 12 & 26
    May Group Psychotherapy – 90853
    $120.00 $.00
    2022 May 10 & 24
    June Group Psychotherapy – 90853 #208
    $120.00 $300.00
    2022 June 7 & 21 For May & June

    July Group Psychotherapy – 90853 #216


    $120.00 $120.00
    2022 July 5 & 19
    August Group Psychotherapy – 90853 #228
    $120.00 $120.00
    2022 August 16 & 30
    Septembe Group Psychotherapy – 90853 #231
    r September 13 & 27 $120.00 $120.00
    2022
    October Group Psychotherapy – 90853
    $120.00 $0.00
    2022 October 11 & 25
    November Group Psychotherapy – 90853 #166
    $120.00 $120.00
    2022 November 8 & 22
    December Group Psychotherapy – 90853 #270
    $120.00 $120.00
    2022 December 6 & 20

    Total
    $1,460.00
    $1,500.00

    BALANCE DUE $40.00

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