


MARIANA EVANS
MS, LMHCA
Expertly Trained
Telehealth provider
What do you want most out of life, your relationships, and the experience of being you? The key to healing is within you and in therapy I can support you in overcoming the obstacles that have gotten in the way.
I work collaboratively with individuals and couples across the lifespan from university students to stay-at-home mothers to older adults. I hold a graduate certificate in religious studies and am experienced working with religious and spiritually oriented clients. I am of mixed cultural background and non-judgmental serve people of all walks of life
I am experienced in helping clients through various interventions including CBT, DBT and Emotionally Focused Therapy, somatic approaches, meditation, and breathing techniques. I have a special interest in helping clients feel at ease in their body mind and spirit.
I have completed a Master’s in Clinical Mental Health Counseling
Insurance Accepted:
Regence, Triwest, Aentha HMA and Premera
Private Pay $125
Client age:
Age Range: children through life span
Trauma work using Emotionally Focused Therapy and Cognitive Behavioral Therapy. I use strategies to engage children and adults using telehealth.

Becca Puffer
University of Cumberlands
LMHC Resident Intern
In-person and telehealth Camas WA
Certified Personal Trainer Fitness Instructor
Clinical Mental Health Counseling intern
I am a fitness instructor and certified personal trainer who firmly believes in the connection between mind and body. I am passionate about helping others understand that emotional and physical health are deeply intertwined and that nurturing both is essential for overall well-being.
I provide a warm, compassionate environment where my clients feel heard and supported. I am committed to helping individuals uncover the root causes of their challenges, heal, and create lasting change.
With experience guiding people through life transitions, faith journeys/crises, and anxiety, I offer a safe, nonjudgmental space and respect each client's unique experiences and background.
Insurance Accepted:
Triwest Insurance
Private Pay starting at $40
Recent Training:
Trauma-Related OCD
Exposure Therapy for Co-Occuring OCD and PTSD
Sean O'Connor
MS, LMHC Pending
Telehealth Provider

Feeling overwhelmed, exhausted, unable to focus, or burnt out by the weight of the world? Feelings of dread, anxiety, and anger can deeply impact your self-worth, especially when Trauma or CPTSD is involved. Whether you're dealing with flashbacks, ADHD, hypervigilance, emotional numbness, or social anxiety. I’m here to help. My goal is to assist you in creating lasting change, building resilience, & navigating difficult times with confidence. Together, we’ll identify unhealthy patterns, process trauma, and let go of what no longer serves you. Each session is designed to support your unique needs and empower your healing journey! EMDR Provider
Insurance Accepted:
Triwest, Regence , Premera
Private Pay $100-$175
Casey Mace Firebaugh
University of Cumberlands
LMHC Resident intern
Navigating Neurodivergence, Alcohol Use, Relationship Struggles, or Identity Questions?You are not alone. I’m Casey Mace Firebaugh, a masters-intern counselor interested in supporting individuals through unique challenges, whether you're neurodivergent, dealing with alcohol use and want to reduce or eliminate, facing relationship struggles, or questioning your identity. I offer a safe, non-judgmental space where you can explore your experiences, find clarity, and build the skills needed to confidently move forward. Whether you're seeking strategies to manage the complexities of neurodivergence, healthier ways to cope with alcohol, communication tools for improving relationships or exploring and embracing your true self, I’m here to guide you every step of the way. Together, we’ll develop personalized solutions that respect your individuality and empower you to create meaningful change in your life.Take the first step today—reach out to casey@bluestreamcounseling.org and begin your journey toward self-discovery, healing, and growth.
Insurance
-Triwest
Private Pay starting at $40
Recent Training:
Trauma-Related OCD
Exposure Therapy for Co-Occuring OCD and PTSD
