44 Mental health counseling through routine outpatient care conducted entirely within a clinic setting, including humanistic person centered counseling, strengths based interventions, acceptance and commitment therapy, eye movement desensitization and reprocessing, solution focused therapy, narrative therapy, family systems therapy, yoga and expressive therapies for children, adolescents, adults, couples and families dealing with chronic pain and life limiting or threatening illnesses in the family system, grief, loss, abuse, trauma, post-traumatic stress disorder, bipolar disorder, anxiety, adoption and foster care, relationship issues, divorce and difficult life transitions or change