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Counseling Staff in Farmington, Missouri

Apr 24, 2023 -

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Katie Hoefer Small

Katie Hoefer is a licensed professional counselor who has a Master's Degree in Clinical Mental Health Counseling. Katie is a Christian-based therapist who uses an integrated therapeutic approach focusing on client strengths, hope, and resilience. Katie has a Bachelor's Degree in Elementary Education as well as a background working with substance use and mental health disorders. Additionally, she holds certifications as a Certificated Clinical Trauma Professional and as an administrator of the Addiction Severity Index (ASI) Assessment. Katie has also been trained and is skilled in using Trust Based Relational Intervention (TBRI.) Katie meets with clients in the Farmington office and by video call to provide the following services: individual counseling, family therapy, couples counseling, anger management, and Addiction Severity Index (ASI) assessments. Populations served include children, adolescents, and adults.

Caroline Keeven Small

Caroline Keeven is a Provisionally Licensed Professional Counselor (PLPC) who has a Master's Degree in Clinical Mental Health Counseling. Caroline is a Christian-based therapist who uses an integrated therapeutic approach focusing on client strengths, goals, and supports. Caroline has also been trained and is skilled in using Trust Based Relational Intervention (TBRI.) Caroline meets with clients in the Farmington office and by video call to provide the following services: individual counseling, family therapy, couples counseling, and anger management. Populations served include: children, adolescents, and adults.

Susan Metzger Small

Susan Metzger, M.Ed., LPC, NCC, CCTP, JSOCCP is the clinical director of the Counseling Center in Farmington, Missouri. She is a highly compassionate, ethical mental health professional, providing quality, strength-based services to diverse populations for over 30 years. Susan's areas of expertise include trauma resolution, dialectical behavior therapy, mood disorders, anxiety, abuse/neglect, juvenile sex offenders, family therapy and domestic violence.


Susan supervises therapists in Farmington, Missouri who serve clients in St. Francois and neighboring counties


Contact the Counseling Center in Farmington with this simple form or phone 573-756-6744.



For a counselor in the St. Louis area, please see Family Solutions for Kids.


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