Our Counselors
Jess Cummings, MA (and 'Polly')
Licensed Mental Health Counselor Associate
Children, Adolescents, Adults, Families
Jess graduated with an MA in Clinical Mental Health Counseling from Northwestern University in December 2024. She's passionate about providing excellent mental health services to children, adolescents, adults, and families, particularly those impacted by disability. Advocating and providing psychoeducation to improve mental health outcomes in the disability community is an important tenet of her counselor identity as well.
Jess spent five years as a special education teacher working with children with visual impairments and another two years instructing visually impaired adults in braille literacy. In both settings, she witnessed unmet mental health needs in her students. Jess strives to be the counselor she could have consulted as a teacher. As a counselor, Jess is interested in approaches such as Disability-affirmative therapy (D-AT), creative expression modalities, interpersonal neurobiology, and the use of the polyvagal theory. Play therapy is another area of interest, particularly directive approaches, child-centered therapy, and how to best adapt these approaches to meet the needs of disabled clients. Jess loves holding space for client transformation; this is a privilege she does not take lightly. To learn more about Jess, visit our therapist spotlight feature on our blog/news page.
Kate DeLorme, MA
Licensed Mental Health Counselor Associate
Children, Adolescents, Adults
Kate is a graduate of the Clinical Mental Health Counseling Program at Gonzaga University. Drawing on the principles of Attachment Theory and techniques from Acceptance and Commitment Therapy, Kate takes a whole-person approach to counseling, focusing on how a client’s experiences, emotions, and relationships influence their current functioning and well-being. Her goal is to create a nurturing and inclusive space where clients can
safely process their unique stories and insights while developing coping skills and perspectives that will empower them to live more fully, with healthier relationships to themselves, others, and the world around them.
Trevor Furst, MA
Licensed Mental Health Counselor Associate
Adolescents, Young Adults
Trevor received a Bachelor’s in Psychology from Andrews University and a Master’s in Counseling Psychology from Western Michigan University. Since graduating, he has worked performing neuropsychological assessments with all ages and provided counseling to adolescents in both partial hospitalization and intensive outpatient levels of care. Trevor approaches working with clients from several theoretical frameworks, including cognitive behavioral therapy and dialectical behavior therapy.
However, he believes that the core of any effective therapy is a positive therapeutic relationship between client and counselor. This relationship is the platform on which growth and change can be founded. It's Trevor's hope to provide clients with a space in which they can be accepted for who they are while also assisted in moving towards a more stable and healthy future.
Judy Jagiello, PsyD
Licensed Psychologist
Adults
Even during the most difficult times in our lives, strength and fortitude can be found inside each and every one of us. Maybe you feel like you can manage your difficulties in life alone because you are strong enough or maybe you don’t feel you deserve assistance. If you are willing to participate, mental health therapy can be helpful in so many different situations. By clarifying what is most important in your life, I could help you navigate your troubles, whether you are adjusting to a new medical diagnosis, dealing
with chronic pain, dealing with anxious thoughts, feeling depressed, going through a big life change, or dealing with discrimination. While it is easy to feel broken when considering reaching out for help, I believe people are not broken. Rather we sometimes become stuck, and you and I can work together to figure out how to empower you to move forward.​ As a Veteran of Operation Enduring Freedom and a member of the LGBTQIA+ community, I am passionate about serving other Veterans and members of the LGBTQIA+ community, as well as older adults. I also believe in equity for all, including Black, Indigenous, and People of Color and work toward cultural humility, especially when providing services to people with different cultures than majority/mainstream culture.
Mikayla Logue, MA
Licensed Mental Health Counselor
Children, Adolescents, Adults
Mikayla received her Bachelor’s degree in Psychology from Seattle Pacific University and Master’s degree in Clinical Mental Health Counseling from Gonzaga University. She has experience working with children, adolescents, college students, and adults experiencing trauma, grief, depression, anxiety, attachment wounds, and life transitions. Mikayla helps empower clients to commit to their values, create and build choice, and live a meaningful life through
reframing and challenging disenfranchising stories while integrating healthy and individualized coping skills for long-lasting change. She collaborates with clients in exploring and processing painful stories of the past and building self-compassion, flexibility, courage, and power in changing their present narrative. In her work with clients, she integrates techniques and philosophies from a variety of modalities, including Acceptance and Commitment Therapy, Person-Centered Therapy, Narrative Therapy, Cognitive Behavioral Therapy, Emotion-Focused Individual Therapy, and Internal Family Systems Therapy.
Ben Mandel, MA
Licensed Mental Health Counselor
Adults, Couples
Counseling is a wonderful step toward desired change, and it can also be a bit daunting at first.
That's why Ben takes time to form the therapeutic relationship at a pace that is comfortable for clients. Ben has experience working with anxiety, depression, trauma, grief, and other various presenting problems. He is especially passionate about helping clients with relationship issues.
We often engage in patterns that leave us feeling isolated or frustrated in our relationships. Learning new ways to tune into ourselves and our partner can help ease feelings of distress and improve connectedness. Ben graduated with a degree in Marriage and Family Counseling from Gonzaga University. He works from a systems lens because he believes the quality of our relationships plays a crucial role in personal well-being. Ben uses Emotionally-Focused Therapy, Person-Centered Therapy, and other modalities as needed. Whether it’s in the individual or couple setting, he believes learning how to understand and embrace emotions helps us achieve desired change. In all his work, Ben strives to create a collaborative relationship where clients feel heard and valued.
Nicole Markealli, MS
Licensed Mental Health Counselor
Children, Adolescents, Adults, Families
Nicole received her Bachelor’s Degree from Eastern Washington University and a Master’s Degree from Gonzaga University. She joined the Center for Family Development in March, 2019. Nicole specializes in working with children, adolescents, adults, families, and couples in private practice and school settings. She uses many different methods in her counseling approach and believes in collaboratively working
with clients to develop goals and measure progress. Nicole is here to provide guidance and support to empower clients to reach their goals.
Remote
Elizabeth Oaksmith, M.Ed.
Licensed Mental Health Counselor
Adults
Liz (she/her) has a Master’s degree from the University of Washington and has been practicing as a licensed mental health counselor for over twenty years. She has a wide variety of experience including working in an Emergency Room, in inpatient psychiatric units, in a residential addiction treatment center, and at the University of Washington. Liz provides a safe and non-judgmental space to help clients
compassionately explore their struggles and learn coping skills and tools to better understand and manage their thoughts, feelings, and behaviors. She utilizes a variety of therapies and techniques including Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Mindfulness and Meditation, Motivational Interviewing, Humor, and ADHD management. Liz also provides specialized treatment in addiction recovery.
Remote
Wyatt O'Dell, MA
Licensed Mental Health Counselor
Children, Adolescents, Adults, Families, Couples
Wyatt received his degree in Marriage and Family Therapy from Whitworth University and has experience working with individuals, families, couples and children. He uses a systemic approach to therapy and has completed levels one and two clinical training of Gottman Method Couples Therapy. Wyatt has knowledge of many different psychological theories and does not subscribe to a one size fits all method for assisting clients in achieving their goals.
He works with his clients to assess their needs and applies the best approach on a case-by-case basis. Wyatt has experience facilitating and co-facilitating group therapy in the areas of: Social skills, training, coping with anxiety, addiction and anger.
Amber Pollard, MSW
Licensed Clinical Social Worker Associate
Children, Adolescents
Amber graduated from Eastern Washington University with a Master’s in Social Work, and has a Bachelor's degree in Psychology from the University of Idaho. Amber believes that the therapeutic experience should be client centered and tailored to each individual based on their goals, strengths, and challenges they face. Her goal is to create a safe therapeutic space where clients feel heard, accepted, and comfortable.
She values and prioritizes having a positive therapeutic relationship with clients to support them in achieving their goals and overcoming life’s challenges. Amber is passionate and honored to support children and adolescents on their unique journeys through using a non-judgmental, supportive, and creative therapeutic approach. She uses a variety of techniques from modalities including Play Therapy, Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT).
Sierra Ramos, MSW
Licensed Independent Clinical Social Worker
Children, Adolescents, Adults, Clinical Supervisor
Sierra works with children, adolescents, and adults from a person- centered, strengths-based perspective supporting the individual where they are. She realizes that each person has a unique background, strengths and challenges that they bring, and she pulls from a variety of modalities including Cognitive-Behavioral Therapy, Solution-Focused Brief Therapy, and Motivational Interviewing to name a few to meet those varying needs.
She specializes in working with adolescents and adults experiencing depression, anxiety, relationship conflict, and life adjustments. Sierra works with the client to help them reach their goals and becoming the best version of themselves. Sierra sees therapy as a true vehicle for self- exploration, discovery, change and to build upon client’s personal strengths.
Remote
Jeanette Garner Rice, MS
Licensed Mental Health Counselor Associate
Adults
Jeanette has a Bachelor of Arts degree in multi-disciplinary studies from Boise State University and a Master of Science degree in clinical mental health counseling at Eastern Washington University. Jeanette has experience counseling older children, adolescents, and adults of all ages. She uses a blend of person-centered and existential theoretical approaches.
Jeanette believes clients are experts in their own experiences and her job is to use her education, skills, creativity, and empathy to foster healing and growth. She further believes finding a sense of meaning and purpose can deepen healing and growth. Jeanette's style is non-judgemental, authentic, supportive, and direct. She uses evidence-based practices including existential exploration, Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Motivational Interviewing.
Brianna “Breezy" Tottenhoff, MA
Licensed Marriage and Family Therapist
Adults, Couples
Brianna, better known as Breezy, received her Bachelor's degree from Washington State University and Master's degree from Whitworth University. Breezy is humbled and honored to share each client's story and walk alongside them through their journey. Initially a skeptic of therapy herself, Breezy approaches her work with a compassionate desire to meet every client where they are and hopes to ease the uncertainty of seeking mental health treatment.
Whether you are coming to therapy on your own, with your spouse/partner, or with family, she strives to make the experience comfortable while you face a sometimes painful healing process together. Breezy is trained in Emotionally Focused Therapy (EFT), Dialectical Behavior Therapy (DBT), and the Gottman Method.
Nilmini Wilkens, MS
Licensed Marriage and Family Therapist
Adults
Nilmini has been a private practice clinician since 2011. As a Marriage and Family Therapist, she brings a systemic approach to therapy. With experience in school and private practice settings, she has worked with individuals, couples, and families. Nilmini has experience facilitating and co-facilitating groups for ADHD, Social Skills, and Self-Esteem. She believes in meeting clients where they are and using a range of techniques and modalities to assist them in meeting their goals.
Remote
Leadership Team
Aaron Denham, PhD
Owner & CEO
Aaron began his career as a mental health counselor for children and families in Whitman County, gaining experience in community mental health, crisis services, and partial hospitalization programs. He also has experience in outdoor therapy and the use of wilderness for leadership development and personal growth. Before joining CFFD, Aaron was an assistant professor of anthropology at Northern Arizona University, an associate professor at Macquarie University in Sydney, and the academic coordinator and professor for the Global Health Program at UC San Diego.
Aaron was a lead researcher at Meta (working closely with small businesses) and at the XPRIZE Foundation leading gender, racial equity, and AI research. He has over 20 years of ethnographic research, cross cultural mental health, and global health expertise. Aaron was an American Psychoanalytic Association fellow and won the Boyer Prize for Contributions to Psychoanalytic Anthropology. Aaron directs the operations of CFFD and our community engagement programs.
Tiffany Kelly, MS, NCC
Licensed Mental Health Counselor & Supervisor
Children, Adolescents, Adults, Clinical Supervisor
Tiffany is a Washington state Licensed Mental Health Counselor (LH 60034712), National Certified Counselor (239988), and an Approved Clinical Supervisor. She earned a Master degree from Eastern Washington University in 2008 in Applied Psychology: Mental Health Counseling emphasis and dual Bachelor degrees in Applied Developmental Psychology and English: Creative Writing emphasis both from EWU as well.
Tiffany uses responsive based therapy models for individuals across the lifespan (ages 2 through adult) with specialization areas in trauma, anxiety, esteem, behavioral, depression, and positive parenting work. She has advanced training in and practice Acceptance and Commitment Therapy, Cognitive Behavioral Therapy (CBT plus and CETA), Trauma-Focused CBT, Cognitive Processing Therapy, EMDR, Parent-Child Interaction Therapy, Motivational Interviewing, and Dialectical Behavior Therapy techniques. She has worked in a variety of practice settings with a variety of presenting issues and diversity in client populations. Tiffany employs an Existential and Humanistic perspective and aims for collaborative and strengths-based work to assess, treat, develop strategies, and evaluate for ongoing progress and needs together.
Administrative Staff
Jamie Knott
Billing Manager
Remote