Our Services

Quality, Customer Focus, and Dignity of Work—these are just a few of the values that guide business activities at SEL and are also at the forefront of the service we provide at the SEL Health Clinic. At the SEL Health Clinic, we are committed to helping you and your family members achieve your best health and are delighted to offer convenient access to high-quality, comprehensive care at no out-of-pocket cost (no copay) to our patients. We provide a range of services, including the following:

  • Primary care
  • Physical examinations
  • Well-woman examinations
  • Well-child examinations
  • Immunizations
  • Travel medicine services
  • Preventive health education
  • Allergy management services
  • Onsite lab services
  • Weight management consultations
  • Sick visits
  • Chronic disease management
  • Medication management
  • Treatment for sprains, strains, and other injuries
  • Minor procedures and biopsies
  • Lab services
  • Care coordination
  • Physical therapy
  • Mental health counseling
  • Referrals to specialists

Primary Care

What is a Primary Care Provider?

A primary care provider is a healthcare provider that you consider the person in charge of coordinating your healthcare, from screening to intervention. You see this provider regularly, even if you aren't sick, as a way to assess your health risks.

Why should I see my Primary Care Provider when I'm not sick?

There is much more to staying healthy than simply treating disease. Lifestyle habits you develop can impact your health in the future, and some diseases must be screened for because they can be present without any outward symptoms. A primary care provider help you identify tests you need while avoiding those you don't.

Can any provider be my Primary Care Provider?

Primary care providers are usually family medicine or internal medicine providers. We generally term these practitioners as working in “primary care.” They are specially equipped to coordinate your care among specialists and to provide care and screening for common diseases.

Have more questions? Read more about primary care in our FAQ.

Meet Our Providers

Keith Gautreaux

Medical Director

Gina Hjorth

Health Clinic Manager, ARNP

Cindy Anderson

Advanced Registered Nurse Practitioner

Janelle Richart

Advanced Registered Nurse Practitioner

Lisa Barnes

Advanced Registered Nurse Practitioner

Tammy Jo Cochrane

Advanced Registered Nurse Practitioner


When in-person visits aren’t achievable, our providers at the SEL Health Clinic are happy to offer telemedicine visits for our established patients. Telemedicine permits two-way, real-time interactive communication between the patient and provider, allowing remote delivery of healthcare services. Providers can provide exams and consultations over a secure, HIPAA-compliant video conference.

Immunizations and Lab Services

We are happy to be able to provide you with many of your needed immunizations and lab services in-clinic.

If you have an upcoming trip to an international destination, or you just want to make sure you’re up-to-date for your wellness immunizations, we can help. We enjoy consulting with you on your day-to-day life and individual health, and providing recommendations for the proper vaccines to support you in the best protection possible of your health.

Whether your care is overseen by an SEL provider or another care provider, our on-site laboratory is both convenient and provides immediate support for lab work you may need. We offer many lab services in-house and strive to limit wait times so you can continue with your day! For lab tests we are unable to result in-house, we are happy to send your samples to our lab partners for processing, with your results returning back to us for your records.

Care Coordination

Care coordination is a targeted approach to deliver efficient healthcare, especially in the area of synchronizing needs from multiple providers or services. The primary goals of care coordination center around the total health of the patient and offering support to ensure that patients have access to the range of services and providers needed, that communication between services and providers is streamlined, and that records are accurate and timely. Finally, care coordination aims to provide you, the patient, with actionable information and resources that are personalized, simple to access, simple to understand and, most importantly, realistic to implement.

Our Coordination Philosophy

The SEL Care Coordination model uses an interdisciplinary team of professionals in the SEL Health Clinic as well as referred specialists and insurance companies to streamline our patients’ health needs and communicate among providers. This means there is a decrease in wait times, improved cost savings and, even better, more comprehensive care.

Some of our Care Coordination Services include the Following:

  1. One-on-One Evaluation and Education is a service offered by our care coordination team and is referred by our providers for patients who may benefit from regular education and evaluation of case management and treatment.
  2. Referral Management connects you with our providers and the trusted community partners you have been referred to/from. This process gets the evaluation information where it needs to be to enhance the speed and delivery of your healthcare.
  3. Insurance Navigation—The world of insurance and approvals and costs can be difficult to navigate. Our care coordination team can evaluate discrepancies and mitigate downtime in approval processes by working with our insurance brokers to get you the care you need, when you need it.
physical therapist working with patient

Physical Therapy

What is Physical Therapy?

Physical therapists are healthcare experts who identify and correct movement disorders that often lead to injuries or pain. Inefficient movement and abnormal movement patterns are common for many of us in our day-to-day lives. Physical therapists are trained to look at your entire body and accurately determine why you move the way you do. The expertise of a physical therapist can assist you in your journey for optimal physical fitness and health. The updated vision statement from the American Physical Therapy Association is “Transforming society by optimizing movement to improve the human experience.”

Treatment Approaches

Our Treatment Philosophy

At SEL Physical Therapy, we use new, cutting-edge, state-of-the-art release techniques that can immediately reduce pain and stiffness and help restore the mobility you need. We believe in a holistic approach to treatment, looking at the person as a whole, not just as a patient with an injured body part. We use a comprehensive biomechanical approach that evaluates your posture, alignment, joint range of motion, flexibility, strength, and coordination and how you move. Our goal is to identify the root cause of your problem, then design a customized program specific for your individual needs. Correcting postural faults, abnormal biomechanics, muscle imbalances, etc. often allows you to more easily achieve and sustain fitness goals.

Some of the treatment approaches that we use include the following:

  1. Counterstrain (CS) involves placing the body in a position of ease to release tension and reset the nervous system. The positioning of the body needs to be comfortable and is guided by the therapist, often resulting in immediate improvement in pain-free movement.
  2. Primal Reflex Release Technique (PRRT) is a new treatment approach that resets the nervous system and calms abnormal reflexes. It is similar to rebooting your computer, but we are rebooting your nervous system to quickly relieve tension and pain. Muscles that are tense and painful can be quickly relaxed.
  3. Total Motion Release (TMR) quickly determines where the asymmetry is in your body and uses your “good” side to improve the performance of your “bad” side. Results are immediate and easily can be done on your own with a home program. When your body is asymmetrical, your injury risk is elevated significantly. This approach helps to correct those differences quickly.

All other treatment interventions, including massage therapy, acupuncture, spinal manipulations, and exercise programs, can be more effective following any one of these release techniques.

Functional Movement System (FMS) Testing

The FMS gives us an objective way to analyze human movement at the big joints in the body.

With the test, we screen for:

  • Asymmetries (any imbalances left to right side).
  • Range of motion of the joints and the muscles.
  • Trunk stability.
  • Pelvic stability.
  • Balance.

Based on the results of this test, we can build appropriate programs. There are three possible outcomes for the screening:

  1. A screening score of 14 or above (21 possible)
    Acceptable for full activity; some corrective strategies may be used for movements.
  2. A screening score of 13 or below
    Corrective strategies will be implemented with training exercises.
  3. Pain with any movement
    Client is referred to a healthcare provider for clearance.

Meet Our Therapists

Mark Cleven

Physical Therapist

Mike Cady, PT, DPT

Physical Therapist

Rebecca Fleming

Physical Therapist

Carly Johnson

Physical Therapy Assistant

Kelsey Whitehead

Physical Therapist Assistant

physical therapist working with patient

Mental Health Counseling

"The curious paradox is that when I accept myself just as I am, then I can change." — Carl Rogers

Counseling is a personal journey toward self-acceptance while actively working to improve dimensions of life. The responsibility of a counselor is to help facilitate self-acceptance and growth by providing empathy for an individual’s experiences, respecting the autonomy of an individual, and believing in an individual’s capacity to heal and grow. At the SEL Health Clinic, we strive to provide the most beneficial counseling experience. Currently, we offer individual counseling services for adults and children as well as family counseling services.

In order to achieve self-acceptance and growth, we provide empathetic care that challenges individuals to be the main agent of change in their lives. Many individuals have their own internal wisdom to resolving life’s concerns, and our treatment approach is geared toward uncovering that wisdom. Therapeutic techniques and skills will be provided to assist in empowering an individual to address their concerns. Successful therapeutic interventions frequently require confronting unhealthy behaviors that have developed over the course of life to facilitate growth. Due to this and the vulnerable nature of counseling, it is pertinent that an individual find a counselor who is a positive personal fit for their needs.

Treatment Styles

Cognitive Behavioral Therapy
  • An evidence-based practice in the treatment of most mental health concerns
  • Solution-focused
  • Restructures maladaptive thinking patterns to productive thinking patterns
  • Facilitates behavioral changes through various behavioral interventions:
    • Behavioral Activation—Making yourself do the behaviors you know contribute to well-being even in the absence of desire
    • Exposure—Making yourself engage in anxiety-producing scenarios to decrease overall anxiety
Cognitive Processing Therapy
  • Subtype of cognitive behavioral therapy
  • Evidence-based practice for Post Traumatic Stress Disorder (PTSD)
  • Reduces avoidance patterns that maintain PTSD symptoms
  • Restructures maladaptive thinking patterns in relation to trauma
Dialectal Behavioral Therapy
  • Subtype of cognitive behavioral therapy
  • Evidence-based practice
  • Four modules to increase emotional resilience and improve relationships:
    • Mindfulness (being present in the moment)
    • Emotional regulation (ability to manage intense emotions)
    • Distress tolerance (tolerating distress when emotions are overwhelming)
    • Interpersonal effectiveness (building and maintaining successful relationships)
Humanistic Therapy
  • Provides empathy, unconditional positive regard, and congruence to facilitate growth
  • Focuses on present feelings
  • Recognizes that people inherently work toward meeting personal needs and potential
Psychodynamic Therapy
  • In-depth talk therapy
  • Generates meaning in life
  • Improves interpersonal relationships
  • Increases self-esteem
Interpersonal Therapy
  • Subtype of psychodynamic therapy
  • Addresses interpersonal deficits to decrease distress
  • Challenges maladaptive thoughts and behaviors exhibited in relationships
Motivational Interviewing
  • Resolves ambivalent feelings and insecurities
  • Finds internal motivation for change


For Anxiety

Pacifica for Stress and Anxiety
App Store    Google Play

Moodpath: Self-Care Companion
App Store    Google Play

SAM: Self-Help for Anxiety Management
App Store    Google Play

App Store    Google Play


PTSD Coach
App Store    Google Play

For Substance Use

I Am Sober
App Store    Google Play

For Depression

Moodpath: Self-Care Companion
App Store    Google Play

Operation Reach Out (for suicidal thoughts)
App Store    Google Play

For Positive Thinking

Optimism: Daily self-affirmations
App Store

Gratitude Reminders
App Store

For tracking emotions and health

DBSA wellness tracker
App Store    Google Play

Online Resources

Anxiety and Depression Association of America

Find Support Groups (online or in-person)

Meet Our Counselors

Brian Morrow

Mental Health Counselor


Pullman Clinic

To contact the Health Clinic in Pullman, please call our front desk at 509.338.3800.

2560 NE Hopkins Ct,
Pullman, WA 99163

Hours of Operation

Monday–Thursday, 7:00 a.m.–5:00 p.m.
Friday, 7:00–11:00 a.m., 12:30–5:00 p.m.

Lewiston Clinic

To contact the Health Clinic in Lewiston, please call our front desk at 208.848.8499.
Directions to the Lewiston Clinic

2857 Juniper Drive
Lewiston, ID 83501

Hours of Operation

Monday–Thursday, 8:00 a.m.–5:00 p.m.
Friday, 8:00–11:00 a.m., 12:30–5:00 p.m.

To access your patient information, log in to the Patient Portal.

COVID-19 vaccines

COVID-19 vaccines are currently available for SEL employee-owners and their families. Schedule your appointment at our Pullman (509.338.3800) or Lewiston (208.848.8499) health clinics.