Harm Reduction Therapy Center – San Francisco

Harm Reduction Therapy Center – San Francisco

21 Merlin Street, San Francisco, California, 94107
3.7★★★★☆7 total reviews

TREATS

Substance use disorder
Mental health

LEVELS OF CARE

Outpatient

Community
Facility type
2
levels of care
San Francisco County
County
Yes
Telehealth offered

About Harm Reduction Therapy Center – San Francisco

Harm Reduction Therapy Center – San Francisco is based on 21 Merlin Street in San Francisco, San Francisco County. The facility offers outpatient services (OP), virtual outpatient (telehealth) and dual diagnosis treatment. Care is provided on an outpatient basis, so people continue living at home.

This location is registered for both substance use and mental health treatment. Details on this page are drawn from the federal treatment locator maintained by the Substance Abuse and Mental Health Services Administration, and were confirmed at the date shown below.

Key Facility Details

  • Federal Registration: Listed in the federal treatment register, the national inventory of licensed treatment facilities.
  • State Licensing: Licensed by the California Department of Health Care Services. DHCS licensure is a legal requirement for behavioral health facilities operating in California.
  • Levels of Care: Outpatient Services (OP), Virtual Outpatient (Telehealth) and Dual Diagnosis Treatment.
  • Location: San Francisco, California.

Key Facility Details

Levels of care
Outpatient, Telehealth
San Francisco, CA
21 Merlin Street, 94107
2000
year founded
  • Primary focusNicotine and tobacco
  • Programs forSeniors, Young adults, Couples
Team
PD
Patt DenningFounder
JL
Jeannie LittleFounder
SH
Sara HofverbergPresident
PF
Perri Franskoviak, Ph.D.Clinical Director
AB
Anna Berg, LCSWClinical Program Director
MB
Maurice Byrd, LMFTClinical Training Director

Facility Type

Community Treatment CentersNonprofit RehabOutpatient Mental Health ClinicSmoking and Vaping PolicySmoking Friendly RehabVape Friendly Rehab

Harm Reduction Therapy Center – San Francisco Photos

Photographs have not been supplied for this listing. Contact the provider directly for images of the facility.

Harm Reduction Therapy Center – San Francisco Detox and Rehab Services

Harm Reduction Therapy Center – San Francisco is recorded as offering outpatient services (OP), virtual outpatient (telehealth) and dual diagnosis treatment.

Therapeutic approaches recorded for this location include cognitive behavioral therapy (CBT), contingency management (CM), emdr therapy, addiction counseling, individual therapy, group therapy and relapse prevention iop. Approaches vary by program and by clinician, so confirm what applies to the level of care you need.

Levels of Care

Evening TreatmentNon-12-Step RehabOnline Rehab and TelehealthOutpatient RehabWeekend Rehab

Substances and Addictions Treated

Adderall RehabConcerta RehabDexedrine RehabNicotine and Tobacco TreatmentPrescription Stimulant RehabRitalin RehabSmoking Cessation CounselingVaping CessationVyvanse Rehab

Mental Health Disorders Treated

Co-Occurring Mental Health ConditionsDepression and AnxietyDepression and PTSDDepression and TraumaFamily Education ProgramsMental Health ConditionsMental Health TreatmentPsychosocial RehabilitationPTSD TreatmentTrauma Treatment

Counseling and Therapy

Activity TherapyCognitive Behavioral Therapy (CBT)Counseling and TherapyEMDR TherapyEvidence-Based TherapyFamily TherapyGroup TherapyIndividual TherapyIntegrated Dual Disorder TreatmentSpecialized Therapy

Specialized Programs

Adult RehabCouples RehabCourt Ordered RehabSenior Outpatient RehabSenior RehabSenior TelehealthTrauma Informed RehabTrauma Survivor ProgramsYoung Adult Rehab

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How Much Does Treatment at Harm Reduction Therapy Center – San Francisco Cost?

Private rehab costs in California are typically $1,200 to $5,000 a month for standard outpatient care. Harm Reduction Therapy Center’s price list was not found when this listing was written, so treat the state figures as a budgeting guide.

What the cost includes is likely to be the intake assessment, group therapy and individual counseling. What it leaves out could be EMDR, CBT, lab tests or medication. Only Harm Reduction Therapy Center can say, so call and ask.

Payment Options

County Funded RehabLow Cost RehabPayment Assistance AvailableState Funded by Treatment TypeState Funded Dual Diagnosis RehabState Funded Mental Health TreatmentState Funded Outpatient RehabState Funded PTSD TreatmentState Funded RehabState Funded TelehealthState Funded Trauma Rehab

Support Services

Case ManagementEducation and Job TrainingHousing and Employment SupportPeer SupportRecovery Support ServicesSuicide Prevention Services

Dual Diagnosis Treatment

Co-Occurring Disorder TreatmentDual Diagnosis with Serious Mental IllnessIntegrated Dual Diagnosis Treatment

Assessment and Testing

Medication Side Effect MonitoringScreening and AssessmentTobacco Use Screening

Key Locations Served Near You

Harm Reduction Therapy Center – San Francisco

21 Merlin Street, San Francisco, California, 94107

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Harm Reduction Therapy Center – San Francisco

21 Merlin Street, San Francisco, California, 94107

Harm Reduction Therapy Center – San Francisco — Compiled From Public Records

This listing is compiled from public directory and licensing sources rather than confirmed firsthand by our editorial team.

Unclaimed — no one from this facility has claimed this listing. Claim this listing
Last updated 2 October 2026.

Harm Reduction Therapy Center – San Francisco Reviews

RehabSeekers publishes reviews of Harm Reduction Therapy Center from patients, their loved ones, healthcare workers and referring professionals.

If that describes you, a short, specific account of your experience with this San Francisco facility is welcome. Detail matters more than length.

3.7
★★★★☆
7 reviews on Google
53
41
30
20
12
Breakdown of the 6 most recent reviews with text
★★★★★
Sabrina Edelkaiser8 months ago

Awesom.\n E staff laid back good food breakfast. Normally Monday through Thursday Fridays typically some kind of pasta or meat dish crows, especially awesome. If you need to talk treats to take with you, candy or chips,… Play Sura practice with Pizza the other day. Just all around awesome community can charge your phone at bathroom, no shower coffee tea, art. Section where you can paint and draw your underneath some computers Couches, where you can take a nap, big chairs comfy, limit, refrigerator sink, and let's not forget the dog bowl with water and treats for your pup.

★☆☆☆☆
LaCresha Phillips3 years ago

Absolutely hate that they send their crew out here every Friday around 11 AM. They have people making so much noise in front of my home. I work and don’t get off until the early morning. I’m interrupted every Friday… because they have these folks out here in line and are not managing noise control. They are right in front of my home making a whole bunch of noise. I’ve asked them multiple times to quiet down. I tried calling this place and no one ever answers the phone because it always goes straight to voicemail. You leave a voicemail and no one ever calls you back. Get it together!

★★★★☆
Rahil Patel4 years ago

if you're at the shelter nearby, this is a nice space to hang out in for a bit (10am-1pm, weekdays, except tuesday), just to get your mind away and focus on moving on. Great music, coffee, tea, etc. to start the day off… good. The first worker i met is truly caring: Nathan. i think it's intended for drug addicts ("harm reduction"), but i think anyone who needs to use the space would be allowed. i also got a dmv id voucher here! they also give out food to homeless folks in nearby parks. Unfortunately, when i went it was candy and unhealthy food. yikes! :( i have no clue about their actual intended services tho...

★☆☆☆☆
Nick Bristol4 years ago

This establishment is handing out needles to those with addictions, and only enabling them to remain sick. It’s a disgusting operation, and how these people aren’t being charged for all the littering of disposed… needles, near parks and playgrounds or the deaths of anyone who overdoses is beyond me..

★★★★★
Hyde Beck5 years ago

HRTC are my heroes. They’re excellent at what they do, make you a better person and professional, and somehow are simultaneously also one of the coolest and nerdiest crews in the city. Diana’s advice still echoes in my… mind and heart.

★★★★★
Julia Klems7 years ago

The Harm Reduction Therapy Center (now the Center for Harm Reduction Therapy) is a great resource for psychological and therapy services for people who struggle with their relationship to substances, and/or mental… health challenges, difficult family dynamics, low self-esteem, and the complex social stresses that can arise with involvement in drug use or other stigmatized behaviors. Individual therapy, psychotherapist-facilitated groups, and interpersonal therapy programs are all on offer at HRTC, and the pool of therapists who practice under the Center’s auspices is a group of incredibly compassionate, talented, and client-centered professionals, all of them trained in and honoring the principles of harm reduction, and with special expertise in this area. Founders Jeannie Little and Patt Denning are pioneers internationally in the development of the theory and practice of harm reduction psychotherapy, having published several books on the subject that have helped usher in a novel movement based in, and advancing, traditional psychotherapy. HRTC therapists’ client-supportive, asset-emphasizing approach incorporates into a traditional psychotherapy framework elements such as low-barrier access to treatment, a non-punitive environment, inclusivity, and non-judgment. Many people with problematic drug and alcohol issues respond favorably to these key components; particularly folks who have tried other intractive treatment approaches to be useless, and even harmful. Those clients who receive services at the Center for Harm Reduction Therapy and who have past experience with other substance-use recovery programs often describe negative experiences with the more typical, abstinence-only options. They may cite such programs as being undesirable, inaccessible, alienating, culturally mismatched, insulting of their intelligence, generally unsafe, etc. And the standard for professional practice in the field of psychology mandates exclusion of active-phase drug users. The critical thinking and cultural humility that harm reduction (as a school of thought) espouses are also indispensable elements of harm reduction psychotherapy, as they allow for better connections intellectually between therapist and client, and therapists can engage clients’ participation in establishing individualized markers of progress, and share in the project of building of visions, and of how success is defined. I highly recommended this agency and its practitioners.

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Ratings and reviews from Google, collected 22 September 2026. RehabSeekers does not edit or remove them.

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