Jessica Milian, LMFTA

A Note from Jessica:

Welcome to Twin Lakes Counseling!
I'm so glad you are here.

Therapy is an opportunity to sit across from another person and be seen in ways that may not always feel safe in our day-to-day life.

As a therapist, I see people at the hardest times in their life. While living it, it can be hard to see ourselves beyond those struggles.

I get the privilege to sit across from people and see the strength, resilience, and potential for healing beneath it all.

Every day I get to walk beside a family, I am humbled by the space we share. I am not just in the room with the person(s) in front of me. I am there with the many generations before them. I am there with generations to come. I am witnessing the healing of the past, present, and future of a family. A community. A society.

Therapy is the space in which I get to do my heart's work, supporting the hope and healing of generations.

Jessica Milian, LMFTA


Jessica received her masters degree from Pacific Lutheran University in Tacoma, WA, and is currently a PhD student and remotely attends Antioch University New England in Keene, NH. Her counseling approach integrates systemic, experiential, and narrative therapies. Jessica’s research interests include the intersection of stigmatizing dominant discourses, trauma, and mental health. She is passionate about providing and increasing access to empowering, affirming, and transformative therapeutic services for individuals, couples, and families.

Jessica specializes in supporting trauma-impacted individuals, couples, and families and has extensive experience working with issues related to complex trauma. She works beside survivors of persistent interpersonal abuse (physical abuse, emotional abuse, sexual abuse, neglect in childhood or adulthood) as well as those who find themselves wanting to shift their harmful behaviors within relationships. She works with parents and caregivers who desire support in being intentional, effective, and safe in their parenting practices. She also enjoys helping clients navigate a wide range of other concerns: relationship distress, behavioral concerns, communication concerns, depression, anxiety, ADHD, and others. She facilitates a collaborative process that actively works with you to establish and meet your goals. She fosters new ways of experiencing to support clients on their journey toward a deeper understanding of self, increased self-confidence, connection, and empowerment.

Her passion is finding hope in seemingly impossible places. Feeling hopeful may seem distant right now. If you are reading this, there is a part of you that believes things can get better. You have already taken a big step by pursuing therapy. Jessica’s hope is, no matter whose therapeutic space you choose to share, you leave empowered to be the driving force of change in your life. You are already doing it.

She is a gender and sexuality affirming, kink-friendly, and poly-friendly therapist.

Jessica Milian, M.A., LMFTA is an associate licensed masters-level marriage and family therapist in Washington State (MG 60886656). She is supervised by Rebekah Woods, LMFT, CMHS.

Credentials & TRAININGS

  • Marriage & Family Therapy Associate License, Washington State (MG 60886656)
  • Masters of Arts in Marriage and Family Therapy, Pacific Lutheran University (2018)
  • PhD in Marriage and Family Therapy, Antioch New England (in progress)
  • Specialized Training in Affirming LGBTQ+ Mental Health and Wellness
  • Positive Parenting Program Certification (Standard, Teen, and Pathways)
  • AAMFT Minority Fellowship Program--Youth (MFP-Y)


  • Premera
  • Out-of-Network
  • Self-pay

Jessica helps clients facing many challenges.

  • Individual Counseling
  • Pre-marital Counseling
  • Discernment Counseling
  • Classroom Consultation
  • Conflict Resolution
  • Mediation
  • Telehealth Sessions

Jessica Milian is a masters-level therapist at Twin Lakes Counseling under the supervision of Rebekah Woods, LMFT. Her hourly rate is $120/hour

Let’s Begin

Call 253-289-6099 or

Contact Jessica Online

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