Nutritionists and Dietitians in Skagit County, WA
When I work with clients, I like to think that I offer a compassionate and non judgmental environment where we can explore what individual goals might look like and discover barriers to getting there. I focus on building confidence and comfortability at the eating experience instead of fear and anxiety. I use an anti diet, HAES aligned approach. If I help clients learn one thing, I hope that it might be: Fear has no place at the dinner table anymore!
When I work with clients, I like to think that I offer a compassionate and non judgmental environment where we can explore what individual goals might look like and discover barriers to getting there. I focus on building confidence and comfortability at the eating experience instead of fear and anxiety. I use an anti diet, HAES aligned approach. If I help clients learn one thing, I hope that it might be: Fear has no place at the dinner table anymore!
With 40 years clinical experience, the spectrum of my professional nutrition services range from basic nutrition counseling/education for those who simply want to improve their diet & lifestyle, on up to therapeutic nutritional support for specific health conditions - everything from indigestion to cancer (see list of specialties below). A functional medicine nutrition approach seeks to identify & resolve the root cause. Professional nutrition services determine your personal health profile. One size does not fit all. Anyone can sell you vitamins, few can tell you precisely which nutrients best meet your actual, individual need.
With 40 years clinical experience, the spectrum of my professional nutrition services range from basic nutrition counseling/education for those who simply want to improve their diet & lifestyle, on up to therapeutic nutritional support for specific health conditions - everything from indigestion to cancer (see list of specialties below). A functional medicine nutrition approach seeks to identify & resolve the root cause. Professional nutrition services determine your personal health profile. One size does not fit all. Anyone can sell you vitamins, few can tell you precisely which nutrients best meet your actual, individual need.
Online Dietitians and Nutritionists
At Holistika Nutrition & Wellness, our clinic provides compassionate, evidence-based nutrition care for individuals seeking to understand and heal the root causes of their health concerns. We specialize in supporting women through hormonal changes, PCOS, pregnancy, postpartum recovery, and menopause, as well as adults managing diabetes, high cholesterol, metabolic syndrome, and gut health concerns. Our team of dietitians and nutritionists offers clarity, balance, and sustainable guidance tailored to your unique health journey.
At Holistika Nutrition & Wellness, our clinic provides compassionate, evidence-based nutrition care for individuals seeking to understand and heal the root causes of their health concerns. We specialize in supporting women through hormonal changes, PCOS, pregnancy, postpartum recovery, and menopause, as well as adults managing diabetes, high cholesterol, metabolic syndrome, and gut health concerns. Our team of dietitians and nutritionists offers clarity, balance, and sustainable guidance tailored to your unique health journey.
I support individuals healing from eating disorders, chronic dieting, and disordered relationships with food and movement. My approach is compassionate, curious, and collaborative, meeting you where you are and helping you find freedom with food. As a former professional dancer, I understand how performance pressures shape body image. I now help athletes, dancers, performers (and others!) fuel intentionally, rebuild trust, and find balance without rigidity.
I support individuals healing from eating disorders, chronic dieting, and disordered relationships with food and movement. My approach is compassionate, curious, and collaborative, meeting you where you are and helping you find freedom with food. As a former professional dancer, I understand how performance pressures shape body image. I now help athletes, dancers, performers (and others!) fuel intentionally, rebuild trust, and find balance without rigidity.
Work with you every step of the way to meet your nutrition and performance goals. Whether you are looking to find ways to improve your eating habits, lose weight and build strength, or manage a chronic disease, I will take a personal and individualized approach to helping you clients reach your goals.
Work with you every step of the way to meet your nutrition and performance goals. Whether you are looking to find ways to improve your eating habits, lose weight and build strength, or manage a chronic disease, I will take a personal and individualized approach to helping you clients reach your goals.
Whether you've been caught in the endless scroll of "eat this, not that" articles or constantly feel like you're falling short with your eating habits, my job is to help you cut through the noise and break things down into manageable, realistic steps. Together, we will work toward a way of eating that truly supports you without sacrificing your relationships, hobbies, or overall joy in life.
My approach to nutrition counseling is rooted in curiosity and compassion. Your habits around food are unique to your experiences and upbringing. The healing goes far beyond just counting calories and hitting goal weights.
Whether you've been caught in the endless scroll of "eat this, not that" articles or constantly feel like you're falling short with your eating habits, my job is to help you cut through the noise and break things down into manageable, realistic steps. Together, we will work toward a way of eating that truly supports you without sacrificing your relationships, hobbies, or overall joy in life.
My approach to nutrition counseling is rooted in curiosity and compassion. Your habits around food are unique to your experiences and upbringing. The healing goes far beyond just counting calories and hitting goal weights.
I’m passionate about helping people feel confident and at ease with food and their bodies. Whether you’re navigating disordered eating, pregnancy and postpartum changes, or managing nutrition‑related conditions like diabetes, PCOS, or gastrointestinal concerns, my goal is to make nutrition feel supportive rather than stressful. Using Intuitive Eating, Medical Nutrition Therapy, and a weight‑inclusive approach, I guide clients toward building a positive, sustainable relationship with food that truly fits their life.
I’m passionate about helping people feel confident and at ease with food and their bodies. Whether you’re navigating disordered eating, pregnancy and postpartum changes, or managing nutrition‑related conditions like diabetes, PCOS, or gastrointestinal concerns, my goal is to make nutrition feel supportive rather than stressful. Using Intuitive Eating, Medical Nutrition Therapy, and a weight‑inclusive approach, I guide clients toward building a positive, sustainable relationship with food that truly fits their life.
Hi, I'm Adrien Paczosa, a registered dietitian and certified eating disorder specialist and former founder at iLiveWell Nutrition. I am now at Nabi Health, a virtual group of HAES-aligned, trauma-informed Registered Dietitians.
Hi, I'm Adrien Paczosa, a registered dietitian and certified eating disorder specialist and former founder at iLiveWell Nutrition. I am now at Nabi Health, a virtual group of HAES-aligned, trauma-informed Registered Dietitians.
I’m passionate about helping people reconnect with food in a balanced way and find confidence in nourishing their bodies. My role is to be your cheerleader as we work toward improving health, energy, and overall wellbeing — without unnecessary restriction or guilt.
I became a dietitian after realizing how confusing and overwhelming nutrition information can be. My curiosity led me to study the science behind nutrition so I could translate it into practical, evidence-based strategies that fit real life.
I’m passionate about helping people reconnect with food in a balanced way and find confidence in nourishing their bodies. My role is to be your cheerleader as we work toward improving health, energy, and overall wellbeing — without unnecessary restriction or guilt.
I became a dietitian after realizing how confusing and overwhelming nutrition information can be. My curiosity led me to study the science behind nutrition so I could translate it into practical, evidence-based strategies that fit real life.
Are you tired of being confused about what to eat? I'm here for you! As a nutritionist that has practiced for nearly twenty years, I have seen a lot of fads come and go. And I have worked with so many of you who have come to me unsure about which fad was “right”. Instead of focusing on the perfectly “right” way to eat, I help my clients find the right ways to eat for them, while also helping to reverse prediabetes, improve fertility or symptoms with PCOS, and create a more resilient immune and hormonal balance with autoimmune conditions such as Hashimoto’s disease.
Are you tired of being confused about what to eat? I'm here for you! As a nutritionist that has practiced for nearly twenty years, I have seen a lot of fads come and go. And I have worked with so many of you who have come to me unsure about which fad was “right”. Instead of focusing on the perfectly “right” way to eat, I help my clients find the right ways to eat for them, while also helping to reverse prediabetes, improve fertility or symptoms with PCOS, and create a more resilient immune and hormonal balance with autoimmune conditions such as Hashimoto’s disease.
Malou /mah-loo/ sees individuals as experts in their lived experience and believes in their inherent wholeness. They view cultural food and foodways as an integral part of our relationship with self, health, and nature. She identifies as a Filipino/a/x dietitian because it holds cultural, social significance to them and influences their care work. They bring humility to their work, aspiring to cultivate embodied relationships with food and well-being. She is passionate about supporting folks with complex medical concerns and prioritizes a weight-inclusive or fat-positive approach.
Malou /mah-loo/ sees individuals as experts in their lived experience and believes in their inherent wholeness. They view cultural food and foodways as an integral part of our relationship with self, health, and nature. She identifies as a Filipino/a/x dietitian because it holds cultural, social significance to them and influences their care work. They bring humility to their work, aspiring to cultivate embodied relationships with food and well-being. She is passionate about supporting folks with complex medical concerns and prioritizes a weight-inclusive or fat-positive approach.
Are you feeling stuck in a cycle of dieting, struggling with your relationship with food, or unsure how to support your child’s eating? I can help.
I’m Marissa Beck, a non-diet dietitian specializing in eating disorders, weight concerns, and sports nutrition. With over 15 years of experience, I help people heal their relationship with food, eat in a way that feels better, and improve their overall well-being, without restrictive diets.
Are you feeling stuck in a cycle of dieting, struggling with your relationship with food, or unsure how to support your child’s eating? I can help.
I’m Marissa Beck, a non-diet dietitian specializing in eating disorders, weight concerns, and sports nutrition. With over 15 years of experience, I help people heal their relationship with food, eat in a way that feels better, and improve their overall well-being, without restrictive diets.
Hello, I am Virginia (Gigi) a registered dietitian, psychotherapist, and yoga and mindfulness teacher. I specialize in supporting individuals struggling with eating disorders/disordered eating, are in a journey of healing their relationships with food and exercise and want reconnection with their bodies. I also provide individualized medical nutrition therapy for diverse health conditions from a weight inclusive approach. In addition, I specialize in mental health conditions such as depression, anxiety, and trauma and support clients with nutrition and mental health counseling to improve symptoms and feel better.
Hello, I am Virginia (Gigi) a registered dietitian, psychotherapist, and yoga and mindfulness teacher. I specialize in supporting individuals struggling with eating disorders/disordered eating, are in a journey of healing their relationships with food and exercise and want reconnection with their bodies. I also provide individualized medical nutrition therapy for diverse health conditions from a weight inclusive approach. In addition, I specialize in mental health conditions such as depression, anxiety, and trauma and support clients with nutrition and mental health counseling to improve symptoms and feel better.
I'm here, I'm queer, and I am so excited to support my clients on their journey towards radical body liberation from the overwhelming oppressions of current societal and cultural norms. I believe that we all have rebellion in our roots, and by harnessing that power we can challenge the thoughts and belief systems that no longer serve us and come back to our authentic selves.
I'm here, I'm queer, and I am so excited to support my clients on their journey towards radical body liberation from the overwhelming oppressions of current societal and cultural norms. I believe that we all have rebellion in our roots, and by harnessing that power we can challenge the thoughts and belief systems that no longer serve us and come back to our authentic selves.
I specialize in adolescent and young adult clients with eating disorders or disordered eating behaviors (picky/selective). I use a non-diet, HAES, intuitive eating approach rooted in nutrition education and scientific evidence. I always put the client first and prioritize personal empowerment and encouragement. I work to know each client individually and provide nutritional recommendations based on that individuality. None of us live identical lives, adapting nutritional goals and outcomes to each individual is key to sustainable change and success. I love my work and love supporting people to reconnect to their body and to food.
I specialize in adolescent and young adult clients with eating disorders or disordered eating behaviors (picky/selective). I use a non-diet, HAES, intuitive eating approach rooted in nutrition education and scientific evidence. I always put the client first and prioritize personal empowerment and encouragement. I work to know each client individually and provide nutritional recommendations based on that individuality. None of us live identical lives, adapting nutritional goals and outcomes to each individual is key to sustainable change and success. I love my work and love supporting people to reconnect to their body and to food.
I truly enjoy supporting and educating my clients so they can feel confident making choices that nurture their body. If you're ready to take the next step in your health journey and are looking for guidance in building a healthy lifestyle or fostering a healthier relationship with food, I am here to support you every step of the way.
I truly enjoy supporting and educating my clients so they can feel confident making choices that nurture their body. If you're ready to take the next step in your health journey and are looking for guidance in building a healthy lifestyle or fostering a healthier relationship with food, I am here to support you every step of the way.
Whether life has just presented you with a new health concern, you are looking to rekindle your relationship with food, or anywhere in between, I am here to help! There are many factors to consider when striving to live well, and they can understandably lead to frustration. Eating is something we are biologically required to do, so why not make it a positive experience? My goal is to provide you with tools to help you feel empowered in nourishing your body on a daily basis. I prioritize bringing both balance and variety onto the plates of my clients.
Whether life has just presented you with a new health concern, you are looking to rekindle your relationship with food, or anywhere in between, I am here to help! There are many factors to consider when striving to live well, and they can understandably lead to frustration. Eating is something we are biologically required to do, so why not make it a positive experience? My goal is to provide you with tools to help you feel empowered in nourishing your body on a daily basis. I prioritize bringing both balance and variety onto the plates of my clients.
You may feel like your body is working against you—persistent fatigue, inflammation, gut issues, anxiety, or hormone shifts that never fully resolve. You’ve likely tried different diets, supplements, or providers, yet something still feels off. What you truly want is to understand why this is happening and finally restore your energy, metabolism, and hormone balance so you can feel like yourself again. You’re not looking for another bandaid—you want clarity, sustainable vitality, and confidence in your body. Not more restriction, but a steady, resilient foundation for long-term health.
You may feel like your body is working against you—persistent fatigue, inflammation, gut issues, anxiety, or hormone shifts that never fully resolve. You’ve likely tried different diets, supplements, or providers, yet something still feels off. What you truly want is to understand why this is happening and finally restore your energy, metabolism, and hormone balance so you can feel like yourself again. You’re not looking for another bandaid—you want clarity, sustainable vitality, and confidence in your body. Not more restriction, but a steady, resilient foundation for long-term health.
Your healing journey starts here—guided, grounded, and fully seen.
I’m a functional nutritionist who believes that true healing begins by meeting you exactly where you are—with compassion, curiosity, and without judgment. Whether you're navigating chronic symptoms, hormonal imbalances, gut issues, fatigue, or just feeling out of sync in your body, I’m here to help you reconnect to the wisdom of your own health story. I use functional lab testing when appropriate to dig deeper into what's driving your symptoms and to guide our path forward with clarity and confidence.
Your healing journey starts here—guided, grounded, and fully seen.
I’m a functional nutritionist who believes that true healing begins by meeting you exactly where you are—with compassion, curiosity, and without judgment. Whether you're navigating chronic symptoms, hormonal imbalances, gut issues, fatigue, or just feeling out of sync in your body, I’m here to help you reconnect to the wisdom of your own health story. I use functional lab testing when appropriate to dig deeper into what's driving your symptoms and to guide our path forward with clarity and confidence.
Do you wish that eating could be simple again, without all the guilt, shame, or feeling out of control around food? Do you ever find yourself thinking, "I already messed up today so I might as well eat the rest and start fresh tomorrow"? Do you feel confused about how to listen to and nourish your body despite perhaps knowing a lot about nutrition? If so, you're not alone - many of my clients come to me feeling exhausted and frustrated by trying to follow food rules or diet plans that end up making them feel crazy around food. They care a lot about their health but they wonder if there is another way.
Do you wish that eating could be simple again, without all the guilt, shame, or feeling out of control around food? Do you ever find yourself thinking, "I already messed up today so I might as well eat the rest and start fresh tomorrow"? Do you feel confused about how to listen to and nourish your body despite perhaps knowing a lot about nutrition? If so, you're not alone - many of my clients come to me feeling exhausted and frustrated by trying to follow food rules or diet plans that end up making them feel crazy around food. They care a lot about their health but they wonder if there is another way.
FAQs - About Nutritionists and Dietitians
How can I find a dietitian or nutritionist in Skagit County?
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.
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.
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.
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.
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.