Dominic Foti, LCMHC – Clinical Director

Dominic is a Licensed Clinical Mental Health Counselor with over a decade of leadership experience in wilderness, residential, inpatient and outpatient therapy settings.  He began his career in 2007 as a field guide at a wilderness program and returned to that program as a therapist after completing his graduate degree. In 2015, Dom went into private practice at an integrative wellness center where he was also the admissions coordinator. He was recruited and hired by Confluence in 2018.

A former valedictorian graduate, Dom holds dual bachelor’s degrees from the University of Vermont, and a master’s degree from Northern Vermont University. He is also a Certified Advanced Yoga Teacher. Dom skillfully creates fun and respectful environments for participants to explore systemic dynamics, empowering them to adapt, overcome and succeed through self-awareness, compassion, humor, and perseverance. As part of his personal self-care, Dom maintains an active lifestyle with hiking, mountain biking, golf, yoga, and camping in the Green Mountains with his pup, Mogli.

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Heather Koledo, LMFT, LADC – Individual Therapist

Heather has been a practicing mental health counselor since 1995 having worked in school, private practice and community mental health settings. Heather holds Bachelor's and Master's Degrees in Education and Literature from Tufts University and earned a Master’s in Counseling Psychology from the University of Massachusetts. Heather is experienced providing assessments, individualized treatment, case management and family counseling to adults, individuals, couples, families and groups. As a Licensed Alcohol and Drug Counselor, Heather also has experience addressing the impact substance use and addiction have on personal well-being and relationships. The focus of her clinical work over the past ten years has been treating co-occurring disorders using mindfulness and physical activity as the foundation for wellness. As a Licensed Marriage and Family Therapist, Heather understands the importance of integrating the family into the continuum of care and to address long standing relational challenges.

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Dr. Thomas Gamble, Ph.D. – Individual Therapist 

Dr. Gamble received his graduate degree from Washington University in St. Louis with an undergraduate degree from Amherst College, and completed his education with a two-year internship at the Department of Psychiatry, Dartmouth Medical School in 1991. He provided psychological services to adolescents, young adults, and their families across a variety of settings within a group practice for two decades; he provides services at Hanover High School and clinical supervision to agencies in the Upper Valley. His clinical interests include identity formation, family systems, mood, anxiety, and conduct disorders, as well as issues related to trauma and loss. Dr. Gamble is an outdoor enthusiast with thousands of paddling miles behind him and many years of 100-day ski seasons.  

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Bill Brown, CMHC – Family Services Director 

Bill is a therapist and mental health counselor with expertise in treating young adults experiencing a wide range of emotional difficulties and life challenges. Bill’s professional interests include the impact stress and emotional turmoil have on identity formation and development. His work employs mindfulness based interventions and explores the mind-body relationship. Using the inherent healing qualities of wilderness and outdoor experiences, he helps young adults overcome the hurdles they face. Bill has worked in a number of settings including wilderness therapy and transitional coaching programs. He has created and run transitional housing programs for young adults and worked with young adults in outpatient clinics and in residential settings. He earned his BA from the University of Vermont and his Master’s in Counseling from Antioch University. 

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Lynne Chow, MSN, APRN, FNP-BC – Program Nurse 

Lynne has been a Family Nurse Practitioner since 1997 when she received her Master's Degree in Family and Community Health Nursing at University of Massachusetts. Prior to that she received her BSN from Northeastern University in 1986 and practiced in the Boston Area. Lynne has practiced as an APRN in Vermont since 1997 in a rural Community Heath Center, a Pediatric practice and most recently, since 2008, in Family Practice. Lynne is interested in helping young adults with mental health challenges better manage their physical health in concert with the work they are doing while in treatment at Confluence. She is also interested in the positive physical and mental effects outdoor activity can bring to all individuals. Lynne likes to hike, cycle, ski and just be outside. She lives in Norwich, VT with her husband and daughter and two cats.


Dr. Keri Height, PsyD – Consulting Psychologist 

Dr. Height is licensed clinical psychologist and Assistant Professor in the Department of Psychiatry at Dartmouth College. Keri is the Director of Hanover Psychiatry. Keri received a PsyD in Clinical Psychology in 2005 from the University of Hartford and a Master of Arts in Theoretical Psychology from Fairleigh Dickinson University in 2001. She completed clinical training at the Department of Psychiatry at Yale University, including a pre-doctoral and postdoctoral fellowships. Prior to joining the Geisel School of Medicine at Dartmouth, she was an assistant professor at Yale University, where she collaborated with others in the conceptualization, establishment and clinical directorship of the Yale Stress Center, an interdisciplinary clinic that provides psychological, psychiatric and wellness services to adolescents, adults and families. Keri offers Confluence clinical consultation supporting effective evidence-based interventions, clinical integration in addition to clinical staff and mentor staff trainings.