Provides free and confidential assistance for victims of crime in Cowlitz, Wahkiakum and Clark counties; 24/7 Crisis Intervention; Individual Advocacy; Medical Advocacy; Legal Advocacy. Call for appointment. Must be a victim of crime to qualify for services. Crime does not need to have been reported to law enforcement.

Counseling Services and Associates, in coordination with the Emergency Support Shelter, has been awarded grant funding to provide services that focus on prevention and treatment for sexual assault to residents of Cowlitz County. The following services are offered: Brief Individual and Family Therapy for Adults and Children, Support Groups; Group Therapy for Adults, Adolescents and Children.

The Ethnic Support Council is a small, non-profit agency that helps immigrants and people with limited English skills as well as businesses, social service agencies, governmental entities and other organizations that serve these populations.

The Ethnic Support Council, which receives United Way funding, offers help by providing language translation and interpreting services as well as information and referral. Spanish is the most frequently requested language, but the office also gets calls for Cambodian, Russian, Vietnamese and other less common languages

Counseling Services & Associates is a collaboration of Licensed Mental Health Counselors and Licensed Counselor-Associates working together to provide quality mental health services in an engaging environment. Our services include: Individual, Couple and Family Therapy serving Children, Adolescents and Adults; The 4-hour Parenting Through Divorce Class required for parents divorcing or in transition; The Sexual Abuse Prevention and Treatment Program in coordination with the Emergency Support Shelter

Health Department Services (64 Main Street, Cathlamet WA). Immunizations, HIV testing and counseling, WIC (women's infants & children's nutrition), Maternity Support services, Infant case management, Children with special health care needs, Family planning, On-site septic permits, Food establishment inspections, Temporary food event permits, Food handlers cards, Emergency preparedness, Vital records