About Lighthouse Counseling Fredericksburg
Lighthouse Counseling of Fredericksburg, PLC is an outpatient addiction treatment and behavioral health center in Fredericksburg, Virginia.
The practice provides individual therapy, small group counseling, court mandated treatment and aftercare support.
Lighthouse emphasizes individualized care with a strong commitment to harm reduction and affirming treatment for diverse populations.
CBT, DBT and Motivational Interviewing
Treatment begins with a comprehensive evaluation to develop personalized recommendations.
Clients new to recovery can join a weekly substance abuse treatment group, while ongoing individual counseling supports those navigating addiction and cooccurring mental health concerns.
Programs draw on evidence-based approaches including CBT, Motivational Interviewing and DBT.
Both abstinence based and harm reduction pathways are supported, along with relapse prevention, MAT discussion and structured DBT options.
Quick Facts
- Location: Fredericksburg, serving Spotsylvania and Stafford areas
- Levels of care: Outpatient substance use treatment, individual and group counseling and aftercare support
- Who they treat: Adults and adolescents ages 14 and older, including LGBTQIA+ and gender diverse clients
- Approach: Evidence-based and harm reduction focused, with CBT, DBT, MI and 12 Step Facilitation
- Specialty services: Court-mandated treatment, DOT/SAP assessments and drug screening
- Harm reduction: Free Narcan, fentanyl and xylazine test kits and medication disposal kits
- Payment options: Aetna, Anthem, Cigna, Medicaid and Medicare (some plans), United Healthcare and self pay




