Love, Joy, Peace...
Mourning Dove Discipleship Counseling and Placement Services, Inc.
Placement Intake Form

If you are seeking placement for drug or alcohol addiction, scroll down and complete the required information, click submit, and someone will be in touch shortly.

The Lord heals the broken-hearted and binds up their wounds. Psalm 147:3

  


First and Last Neme
Mailing Address
Phone Number
Email Address
Brief Description of Drug or Alcohol Use
Date of Birth
Outstanding Court Dates and Description of Cases
Mourning Dove Discipleship Counseling and Placement Services, Inc.
1687 Bethel Colony Rd, Lenoir NC 28645
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