Nutritionists and Dietitians in 28645

Photo of Jordan DeBoard, Nutritionist/Dietitian, RDN, LDN, CEDS
Jordan DeBoard
Nutritionist/Dietitian, RDN, LDN, CEDS
Online Only
Hi, I’m Jordan! I’m a Certified Eating Disorder Specialist, and I work with adults (18+) in North Carolina who are ready to find healing and freedom with food and their bodies. While I specialize in eating disorder recovery, I also support people navigating PCOS and other hormonal concerns, diabetes, sports nutrition, and intuitive eating.
Hi, I’m Jordan! I’m a Certified Eating Disorder Specialist, and I work with adults (18+) in North Carolina who are ready to find healing and freedom with food and their bodies. While I specialize in eating disorder recovery, I also support people navigating PCOS and other hormonal concerns, diabetes, sports nutrition, and intuitive eating.
(828) 457-8851 View (828) 457-8851

More Dietitians and Nutritionists Nearby

Photo of Anna Lor, Nutritionist/Dietitian, MS, RDN, LDN
Anna Lor
Nutritionist/Dietitian, MS, RDN, LDN
Serves Area
You’re here because you’re ready for a change, but with all the conflicting advice out there, it’s hard to know where to start. Maybe you’re struggling with low energy, inconsistent eating habits, or balancing your health goals with a busy life. I’m here to help you cut through the noise and create a personalized plan that works for you. Together, we’ll build sustainable habits that fit your lifestyle, whether it’s feeling more energized, improving performance, or simply finding joy in food again. You deserve to feel confident, supported, and in control of your health—and I’m here to guide you every step of the way.
You’re here because you’re ready for a change, but with all the conflicting advice out there, it’s hard to know where to start. Maybe you’re struggling with low energy, inconsistent eating habits, or balancing your health goals with a busy life. I’m here to help you cut through the noise and create a personalized plan that works for you. Together, we’ll build sustainable habits that fit your lifestyle, whether it’s feeling more energized, improving performance, or simply finding joy in food again. You deserve to feel confident, supported, and in control of your health—and I’m here to guide you every step of the way.
(910) 597-4190 View (910) 597-4190
Photo of Mandy Huffman Nix, Nutritionist/Dietitian, MS, RD, LDN
Mandy Huffman Nix
Nutritionist/Dietitian, MS, RD, LDN
Morganton, NC 28655
Healing Nutrition provides a positive and sustainable relationship with food and your body. Whether you are seeking weight management, blood sugar control, discovering the root cause of GI distress, addressing food sensitivities, or meal planning, my passion is helping you achieve your wellness goals and to feel your best.
Healing Nutrition provides a positive and sustainable relationship with food and your body. Whether you are seeking weight management, blood sugar control, discovering the root cause of GI distress, addressing food sensitivities, or meal planning, my passion is helping you achieve your wellness goals and to feel your best.
(828) 439-0724 View (828) 439-0724
Photo of Michelle Rizzi Shelfer, Nutritionist/Dietitian, RD, LDN, CEDRD-S
Michelle Rizzi Shelfer
Nutritionist/Dietitian, RD, LDN, CEDRD-S
Boone, NC 28607
My goal is to meet people where they are, and aid them in building a sustainable relationship with food and movement. I educate on how improving their nutrition can improve their mental and emotional health along with their physical well-being. I focus on "Improvement, not perfection!" As a certified group fitness instructor for over 22 years, I am able to help clients design a movement plan that works for them. While using a H.A.E.S, and intuitive eating approach, they are able to enjoy the journey of improvibg their relationship with food and movement.
My goal is to meet people where they are, and aid them in building a sustainable relationship with food and movement. I educate on how improving their nutrition can improve their mental and emotional health along with their physical well-being. I focus on "Improvement, not perfection!" As a certified group fitness instructor for over 22 years, I am able to help clients design a movement plan that works for them. While using a H.A.E.S, and intuitive eating approach, they are able to enjoy the journey of improvibg their relationship with food and movement.
(828) 337-5148 View (828) 337-5148
Photo of Jenny Askew, Nutritionist/Dietitian, MS, RD, LD, CLT, ACSM EP
Jenny Askew
Nutritionist/Dietitian, MS, RD, LD, CLT, ACSM EP
2 Endorsed
Boone, NC 28607
Are you sick and tired of feeling sick and tired? If you're wondering if your health issues are related to what you're eating, you're in the right place! Digestive disorders such as IBS, IBD, celiac, and GERD are our specialties. If you're tired of being told "it's all in your head" and to "eat more fiber" we're here to offer a new approach.
Are you sick and tired of feeling sick and tired? If you're wondering if your health issues are related to what you're eating, you're in the right place! Digestive disorders such as IBS, IBD, celiac, and GERD are our specialties. If you're tired of being told "it's all in your head" and to "eat more fiber" we're here to offer a new approach.
(678) 582-1475 View (678) 582-1475
Photo of Sarah Helmick, Nutritionist/Dietitian, MS, RD, LDN
Sarah Helmick
Nutritionist/Dietitian, MS, RD, LDN
Boone, NC 28607
Waitlist for new clients
I enjoy working with a number of individuals including those who are looking to improve their relationship with food and their bodies, let go of beliefs about food that are preventing them from living a full life, and those who are struggling with chronic health concerns and wanting to learn more about nutrition habits that can be supportive to their well being.
I enjoy working with a number of individuals including those who are looking to improve their relationship with food and their bodies, let go of beliefs about food that are preventing them from living a full life, and those who are struggling with chronic health concerns and wanting to learn more about nutrition habits that can be supportive to their well being.
(828) 516-9602 View (828) 516-9602
Photo of Lauren Furgiuele, Nutritionist/Dietitian, MS, RDN, LDN
Lauren Furgiuele
Nutritionist/Dietitian, MS, RDN, LDN
Online Only
Hi! I’m Lauren, your period dietitian. I help women in their 20s through early 40s regulate their periods, ease frustrating PMS, and boost their energy and fertility, so they can feel more like themselves again. My clients are tired of extreme dieting, being told their labs are “normal” when they feel like trash, and that birth control is their only option to regulate hormones and manage symptoms until they want to get pregnant. I get it, which is why we do things a bit different around here.
Hi! I’m Lauren, your period dietitian. I help women in their 20s through early 40s regulate their periods, ease frustrating PMS, and boost their energy and fertility, so they can feel more like themselves again. My clients are tired of extreme dieting, being told their labs are “normal” when they feel like trash, and that birth control is their only option to regulate hormones and manage symptoms until they want to get pregnant. I get it, which is why we do things a bit different around here.
(828) 383-9686 View (828) 383-9686
Photo of Theresa Renee Saltsgaver, Nutritionist/Dietitian, MS, RDN, LDN
Theresa Renee Saltsgaver
Nutritionist/Dietitian, MS, RDN, LDN
Online Only
​​Are you struggling with your weight? Have you been diagnosed with prediabetes or gestational diabetes? Have you been diagnosed with high cholesterol or high blood pressure? ​ No matter what stage of life you are in, nutrition plays an important role in your health, and I am here to help. I am licensed in WV and NC and taking new clients via online Telehealth appointments.
​​Are you struggling with your weight? Have you been diagnosed with prediabetes or gestational diabetes? Have you been diagnosed with high cholesterol or high blood pressure? ​ No matter what stage of life you are in, nutrition plays an important role in your health, and I am here to help. I am licensed in WV and NC and taking new clients via online Telehealth appointments.
(919) 823-3077 View (919) 823-3077

Online Dietitians and Nutritionists

Photo of Avance Nutrition-Onsite And Virtual Services - Avance Nutrition, Nutritionist/Dietitian, MS, RDN, LDN, CDCES
Avance Nutrition
Nutritionist/Dietitian, MS, RDN, LDN, CDCES
Charlotte, NC 28204
At Avance Care Nutrition, our highest priority is your health and well-being. Partner with one of our dietitians and your healthcare team to meet your health and wellness goals. We can partner with you to: reach a healthier weight without deprivation with a personalized, flexible lifestyle and eating plan, improve your relationship with food and your body, learn to listen to your body’s cues for hunger and fullness, reduce your risk for developing chronic conditions like heart disease or manage chronic conditions, like diabetes and high blood pressure, with fewer medications.
At Avance Care Nutrition, our highest priority is your health and well-being. Partner with one of our dietitians and your healthcare team to meet your health and wellness goals. We can partner with you to: reach a healthier weight without deprivation with a personalized, flexible lifestyle and eating plan, improve your relationship with food and your body, learn to listen to your body’s cues for hunger and fullness, reduce your risk for developing chronic conditions like heart disease or manage chronic conditions, like diabetes and high blood pressure, with fewer medications.
(984) 789-5087 View (984) 789-5087
Photo of Mary Beth Hynek - MB Hynek Nutrition, Nutritionist/Dietitian, MS, RD, LDN
MB Hynek Nutrition
Nutritionist/Dietitian, MS, RD, LDN
Winston Salem, NC 27106
My goal is to empower people to build healthy, balanced lifestyles while genuinely enjoying the foods they eat. I believe that nutrition is one of the most powerful tools for preventing disease and promoting lifelong wellness. Rather than focusing on restrictions, I emphasize the abundance of nourishing, delicious foods that can enhance both health and quality of life. My approach is centered on providing expert guidance and unwavering support, making the path to better health both achievable and sustainable.
My goal is to empower people to build healthy, balanced lifestyles while genuinely enjoying the foods they eat. I believe that nutrition is one of the most powerful tools for preventing disease and promoting lifelong wellness. Rather than focusing on restrictions, I emphasize the abundance of nourishing, delicious foods that can enhance both health and quality of life. My approach is centered on providing expert guidance and unwavering support, making the path to better health both achievable and sustainable.
(336) 360-6146 View (336) 360-6146
Photo of Diana Laursen - Carolina Nutritional Services, Nutritionist/Dietitian, RD, CLC, LDN
Carolina Nutritional Services
Nutritionist/Dietitian, RD, CLC, LDN
Waynesville, NC 28786
I know firsthand that health isn’t just about reacting to problems—it’s also about being proactive. As a dietitian and a mom of four, I understand the challenge of juggling it all—busy schedules, family meals, and finding balance in the chaos. That’s why I am passionate about making nutrition both practical and powerful. Food isn’t just fuel—it’s a tool for longevity, energy, and well-being. Whether it’s stabilizing blood sugar, supporting hormonal health, or creating high-protein, low-calorie meals that fit a hectic lifestyle, my goal is to help folks make smart, informed choices that work in real life.
I know firsthand that health isn’t just about reacting to problems—it’s also about being proactive. As a dietitian and a mom of four, I understand the challenge of juggling it all—busy schedules, family meals, and finding balance in the chaos. That’s why I am passionate about making nutrition both practical and powerful. Food isn’t just fuel—it’s a tool for longevity, energy, and well-being. Whether it’s stabilizing blood sugar, supporting hormonal health, or creating high-protein, low-calorie meals that fit a hectic lifestyle, my goal is to help folks make smart, informed choices that work in real life.
(828) 576-5748 View (828) 576-5748
Photo of Emily Paeth, Nutritionist/Dietitian, MS, RDN, LDN
Emily Paeth
Nutritionist/Dietitian, MS, RDN, LDN
3 Endorsed
Charlotte, NC 28204
Emily practices out of Health Loft and specializes in working with Eating Disorders, Disordered Eating, Plant Based Diets, Digestive Issues, Body Image Concerns and other conditions. She strongly believes that all foods fit and strives to help clients in their food freedom journey. Using a weight neutral and non-judgemental approach, Emily believes that health is multifactorial and will work to see you as a person, rather than a diagnosis. Emily has spent the majority of her career in higher levels of care for eating disorder treatment (RES, PHP, IOP) treating various eating disorders diagnoses.
Emily practices out of Health Loft and specializes in working with Eating Disorders, Disordered Eating, Plant Based Diets, Digestive Issues, Body Image Concerns and other conditions. She strongly believes that all foods fit and strives to help clients in their food freedom journey. Using a weight neutral and non-judgemental approach, Emily believes that health is multifactorial and will work to see you as a person, rather than a diagnosis. Emily has spent the majority of her career in higher levels of care for eating disorder treatment (RES, PHP, IOP) treating various eating disorders diagnoses.
(754) 325-3311 View (754) 325-3311
Photo of Sara Geiger, Nutritionist/Dietitian, MS, RDN, LDN
Sara Geiger
Nutritionist/Dietitian, MS, RDN, LDN
1 Endorsed
Charlotte, NC 28210
Hello there! I’m a fiercely anti-diet Registered Dietitian Nutritionist (RDN) specializing in eating disorders. My journey as a dietitian began at the intersection of nutrition and psychology. I hold a Bachelor of Science in Nutrition Science and a Bachelor of Art in Psychology degrees from North Carolina State University and a Master of Science in Nutrition and Dietetic Practice from Thomas Jefferson University. My commitment to ongoing education and practicing with humility ensures that I provide evidence-based, personalized care to each of my clients. I have eating disorder experience at multiple levels of care.
Hello there! I’m a fiercely anti-diet Registered Dietitian Nutritionist (RDN) specializing in eating disorders. My journey as a dietitian began at the intersection of nutrition and psychology. I hold a Bachelor of Science in Nutrition Science and a Bachelor of Art in Psychology degrees from North Carolina State University and a Master of Science in Nutrition and Dietetic Practice from Thomas Jefferson University. My commitment to ongoing education and practicing with humility ensures that I provide evidence-based, personalized care to each of my clients. I have eating disorder experience at multiple levels of care.
(704) 285-2989 View (704) 285-2989
Photo of Rebecca Subbiah, Nutritionist/Dietitian, RDN, LDN
Rebecca Subbiah
Nutritionist/Dietitian, RDN, LDN
Winston Salem, NC 27101
You are valued and of worth, you matter and your wellbeing is important. Anchored Nutrition Therapy approaches health through a HAES (Health at Every Size) lens promoting weight inclusivity, health promoting behaviors, a flexible eating approach based on intuitive eating, meeting your nutritional needs, learning to be in tune with your body and enjoy your food. Helping you find joy in movement. All are welcome.
You are valued and of worth, you matter and your wellbeing is important. Anchored Nutrition Therapy approaches health through a HAES (Health at Every Size) lens promoting weight inclusivity, health promoting behaviors, a flexible eating approach based on intuitive eating, meeting your nutritional needs, learning to be in tune with your body and enjoy your food. Helping you find joy in movement. All are welcome.
(336) 395-5085 View (336) 395-5085
Photo of Sina Sagatchi, Nutritionist/Dietitian, MS, RD, LDN
Sina Sagatchi
Nutritionist/Dietitian, MS, RD, LDN
Charlotte, NC 28202
A passion for teaching and educating is deep-seated in how I approach helping people learn about nutrition and healthy eating habits, and its correlation to adapting it to their lifestyle to better their health.
A passion for teaching and educating is deep-seated in how I approach helping people learn about nutrition and healthy eating habits, and its correlation to adapting it to their lifestyle to better their health.
(980) 550-5592 View (980) 550-5592
Photo of Joy Metevier, Nutritionist/Dietitian, MSN, RDN, LD
Joy Metevier
Nutritionist/Dietitian, MSN, RDN, LD
3 Endorsed
Charlotte, NC 28202
Joy is a Registered Dietitian Nutritionist with more than 15 years of experience, primarily serving as a dietitian for the U.S. Army. Her clinical background centers on eating disorders, and she’s passionate about helping clients define their own values around food, weight, and movement. She also facilitates eating-disorder recovery support groups through the National Alliance for Eating Disorders, supporting individuals and families throughout recovery.
Joy is a Registered Dietitian Nutritionist with more than 15 years of experience, primarily serving as a dietitian for the U.S. Army. Her clinical background centers on eating disorders, and she’s passionate about helping clients define their own values around food, weight, and movement. She also facilitates eating-disorder recovery support groups through the National Alliance for Eating Disorders, supporting individuals and families throughout recovery.
(410) 873-9844 View (410) 873-9844
Photo of Kendra Leanne Gaffney - Nutritious Thoughts, LLC, Nutritionist/Dietitian, RD, LDN, CEDS-C
Nutritious Thoughts, LLC
Nutritionist/Dietitian, RD, LDN, CEDS-C
Asheville, NC 28801
We provide support around Eating Disorders, Eating Concerns, Embodiment, Nutrition for Substance Use Recovery, Nutrition for Mental Health, Nutrition for Competitive & Recreational Athletes, Chronic Health Concerns, and Gestational, Hormonal & Reproductive health. Nutritious Thoughts is a team of compassion-centered dietitians located in North Carolina and virtually across the nation! We practice under the philosophy that humans of all body sizes, shapes, & abilities are worthy of care. We strive to create an authentic human experience through connection & creating positive relationships with food.
We provide support around Eating Disorders, Eating Concerns, Embodiment, Nutrition for Substance Use Recovery, Nutrition for Mental Health, Nutrition for Competitive & Recreational Athletes, Chronic Health Concerns, and Gestational, Hormonal & Reproductive health. Nutritious Thoughts is a team of compassion-centered dietitians located in North Carolina and virtually across the nation! We practice under the philosophy that humans of all body sizes, shapes, & abilities are worthy of care. We strive to create an authentic human experience through connection & creating positive relationships with food.
(828) 348-5822 View (828) 348-5822
Photo of Patrick Zeoli, Nutritionist/Dietitian, MPH, RD, LDN
Patrick Zeoli
Nutritionist/Dietitian, MPH, RD, LDN
Charlotte, NC 28277
As a dietitian I am able to help people in a variety of ways. From sports performance, weight management, diabetes and disease management and other client needs I have been trained in a variety of areas to understand and apply science and research to develop the plan of action to help. Using evidenced based practices, I am able to create and execute a realistic and achievable plan for my clients.
As a dietitian I am able to help people in a variety of ways. From sports performance, weight management, diabetes and disease management and other client needs I have been trained in a variety of areas to understand and apply science and research to develop the plan of action to help. Using evidenced based practices, I am able to create and execute a realistic and achievable plan for my clients.
(704) 686-8547 View (704) 686-8547
Photo of Melissa Horstman, Nutritionist/Dietitian, MS, RD, LDN
Melissa Horstman
Nutritionist/Dietitian, MS, RD, LDN
2 Endorsed
Charlotte, NC 28204
Melissa is a dedicated Registered Dietitian who strives to build rapport with her clients and fully understand their nutritional challenges and needs while fostering a positive relationship with food and self-kindness. She enjoys helping others achieve positive changes in their mental and physical health through nutrition counseling and education. Melissa is particularly passionate about working with individuals struggling with eating disorders, disordered eating, and the connection between nutrition and mental health.
Melissa is a dedicated Registered Dietitian who strives to build rapport with her clients and fully understand their nutritional challenges and needs while fostering a positive relationship with food and self-kindness. She enjoys helping others achieve positive changes in their mental and physical health through nutrition counseling and education. Melissa is particularly passionate about working with individuals struggling with eating disorders, disordered eating, and the connection between nutrition and mental health.
(312) 374-5399 View (312) 374-5399
Photo of Courtney Walker, Nutritionist/Dietitian, MS, RDN, LDN
Courtney Walker
Nutritionist/Dietitian, MS, RDN, LDN
1 Endorsed
Charlotte, NC 28203
If you are struggling to develop a peaceful relationship with food, know that you are not alone. Confusing messages telling us how to eat, what to eat, and when to eat can make us wonder why eating has gotten so complicated. The short answer: it doesn't have to be. Whether you have been diagnosed with an eating disorder, suffer from disordered eating, or just want to know how to nourish your body without going on another diet, I can help.
If you are struggling to develop a peaceful relationship with food, know that you are not alone. Confusing messages telling us how to eat, what to eat, and when to eat can make us wonder why eating has gotten so complicated. The short answer: it doesn't have to be. Whether you have been diagnosed with an eating disorder, suffer from disordered eating, or just want to know how to nourish your body without going on another diet, I can help.
(704) 741-0356 View (704) 741-0356
FAQs - About Nutritionists and Dietitians

How can I find a dietitian or nutritionist in 28645?

To find dietitians and nutritionists near you, input your city, town, suburb, zip code, or a provider's name in the search bar at the top of the page. From there, you can filter by specialty, treatment technique, and gender to find a dietitian or nutritionist who matches your needs.

When you visit a dietitian or nutritionist's profile, you can get a better idea if they're the right fit for you. Consider things like session cost, accepted insurance plans, and their location or telehealth options. If someone seems like a good match, you can email them or call the number on their profile. When speaking with a professional, pay attention to whether or not you feel comfortable in the conversation and how knowledgeable they are about your specific nutrition concerns. It may also be helpful to ask more about their general approach to nutrition and the training behind their credentials.

What is the difference between a dietitian and a nutritionist?

The terms dietitian and nutritionist are often used interchangeably. However, there are actually key credential differences between dietitians and nutritionists that are important to keep in mind when seeking a nutrition professional.

A registered dietitian (RD) or registered dietitian nutritionist (RDN) has earned at least a graduate degree from an accredited program, completed a supervised practice program, passed the Commission on Dietetic Registration exam, and continues their education regularly. The RD and RDN credentials are regulated by the Academy of Nutrition and Dietetics, the largest nutrition-related organization in the country. Only professionals who meet their standards can call themselves an RD or RDN and enjoy privileges like billing insurance. Additionally, RDs and RDNs can get board certifications in specialized areas such as gerontological nutrition (CSG), sports dietetics (CSSD), pediatric nutrition (CSP), renal nutrition (CSR), or oncology nutrition (CSO). They also need state licensure, which usually aligns with national requirements.

In contrast, the title "nutritionist" doesn't require any formal education or credentials; anyone can use the title of nutritionist, including those with very limited or no formal training in nutrition. Although there are certification programs that are marketed toward those interested in nutrition counseling, the rigor and academic requirements for such programs varies greatly. These important differences between dietitians and nutritionists are thus very important to consider when choosing the right nutrition professional for your needs. To be listed in the HealthProfs directory, Nutritionists must have a minimum of a Masters Degree in a relevant field.

When should I see a dietitian or a nutritionist?

Clients seek nutritional support from dietitians and nutritionists for various reasons, ranging from medical conditions to lifestyle concerns like weight loss or dietary requirements; however, it's always important to find a professional who is a good fit for you. Consider factors such as insurance coverage, your specific medical or dietary concerns, and the availability of professionals near you to determine whether a dietitian or nutritionist may be a better fit.

Generally, nutritionists are not covered by insurance, whereas Registered Dietitians (RDs) often are, especially for those with medical conditions. If you have a chronic medical condition like cancer or kidney disease, you might want to seek out an RD with specialized expertise, such as a Board Certified Specialist in Oncology Nutrition (CSO) or a Board Certified Specialist in Renal Nutrition (CSR). These credentials indicate advanced education and a commitment to ongoing learning within a specific area. Additionally, consider the availability of professionals in your area and their openness to telehealth sessions. While the field of dietetics is growing, there may not always be a wide selection of professionals, especially in rural areas. In such cases, focusing on the experience and expertise of the nutrition professional can be more important than their specific credentials.

Do I need a referral to see a dietitian or a nutritionist?

A referral is not required to see a dietitian or nutritionist, and many individuals independently seek nutritional support without prior medical advice. However, for a nutrition service to be covered by insurance, a referral from a primary care physician or another medical professional may be necessary. In such cases, a referral is typically made for those who have been formally diagnosed with a medical condition requiring nutrition counseling, such as diabetes or hypertension. If insurance coverage is critical to a client's ability to see a dietitian, they should contact their insurance provider to determine if a referral is needed for nutritional counseling and to understand any potential co-pays or coverage limits that may apply in their individual circumstance.

How much does it cost to see a dietitian or a nutritionist?

The cost of seeing a dietitian or nutritionist depends on a number of variables, including their location, their specialty, whether they take insurance, and the professional's experience and training. On average, the cost of out-of-pocket sessions with a dietitian or nutritionist within the United States ranges from $50-$150. In some cases, nutrition professionals will require a longer initial evaluation session that will cost more than ongoing follow-up sessions. Dietitians and nutritionists may also offer packages for clients interested in longer-term nutritional support; in such cases, they may charge monthly or other periodic fees for more comprehensive services, such as a combination of nutrition sessions and out-of-session coaching support. If nutrition services are covered by a client's insurance plan and they are eligible for coverage based on any referral requirements, the out-of-pocket cost of seeing a dietitian may be completely covered or significantly reduced.

Are consultations with a dietitian or nutritionist covered by insurance?

If your insurance covers nutrition services, the cost is usually lower than paying out-of-pocket. However, insurance coverage can vary based on factors like your specific plan details, whether you choose an in-network or out-of-network provider, and whether you have a referral for nutrition services based on a medical diagnosis.

Coverage also depends on the type of nutrition service. Typically, insurance plans only cover services provided by a licensed Registered Dietitian (RD) and do not cover those offered by nutritionists or nutrition coaches without the RD credential. If nutrition services are not covered by your insurance, some dietitians and nutritionists may offer sliding scale rates or lower-cost services for clients who cannot afford their full fee. However, these spots are often limited and may not always be available.