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Karyn Kaminski, LCSW, LCAS Karyn Kaminski, LCSW, LCAS
Integrated Behavioral Health Provider

MAHEC Family Health Center at Biltmore map
123 Hendersonville Road
Asheville, NC 28803
phone (828) 257-4730

Karyn is a licensed clinical social worker and licensed clinical addictions specialist with experience in mental health since 2004. She earned her Master’s in Social Work and Certificate in Marriage and Family Therapy from the University of Georgia in 2014, and her Bachelor’s of Science in Journalism from Northwestern University in 1997. Karyn has worked with adolescents, young adults and their families in residential inpatient and outpatient settings focusing on various mental health issues, neurodivergence, and substance use. She believes her patients are the experts of their own lives and enjoys working with them on skills to unhook from the problems, thoughts, and feelings that keep them from moving toward their goals. Karyn is trained in a variety of evidence-based modalities, but primarily utilizes Acceptance and Commitment Therapy, Motivational Interviewing, and Family Systems Theory. Karyn offers shorter-term counseling for Family Health Center patients referred by their physicians as part of the Integrated Care Model.


Valerie Krall, MA, LCMHC Valerie Krall, MA, LCMHC
Director, Behavioral Medicine

MAHEC Family Health Center at Biltmore map
123 Hendersonville Road
Asheville, NC 28803
phone (828) 257-4730

Offers shorter-term counseling for Family Health Center patients referred by their physicians as part of the Integrated Care Model.


Geoffrey Raine, LCSW Geoffrey Raine, LCSW
Mental Health Professional

MAHEC Center for Psychiatry and Mental Wellness map
125 Hendersonville Road
Asheville, NC 28803
phone (828) 398-3601


Joshua Schactman, LCSW, LCAS Joshua Schactman, LCSW, LCAS
Integrated Behavioral Health Care Provider

MAHEC Family Health Center at Biltmore map
123 Hendersonville Road
Asheville, NC 28803
phone (828) 257-4730

Josh joined the MAHEC faculty in December 2014. He has worked in adult mental health since 1999 and adult/child mental health since 2007. Before coming to MAHEC Josh helped established walk-in counseling and assessment services for adults and children in an outpatient community mental health setting . Additionally, he regularly consulted with DSS on complex cases in Rutherford and Polk County. Prior to this, Josh worked in an adult substance use program and partial hospitalization programs.

Josh completed his undergraduate at the University of Massachusetts and Master's in Social Work at the University of Georgia. He works with patients to build on their strengths and resiliency, while working to connect them with resources in their own community. Josh believes strongly in matching interventions with patients’ readiness to change and having the relationship as the focal point for the change agent.

Offers shorter-term counseling for Family Health Center patients referred by their physicians as part of the Integrated Care Model.


Jackson “Dayton” Steelman, LCMHC, LCAS Jackson “Dayton” Steelman, LCMHC, LCAS
Integrated Behavioral Health Provider

MAHEC Family Health Center at Biltmore map
123 Hendersonville Road
Asheville, NC 28803
phone (828) 257-4730

Dayton Steelman is a Licensed Clinical Mental Health Counselor, Licensed Clinical Addiction Specialist, and a member of the Association for Family Therapy and Systemic Practice. He completed an MSc in Family and Systemic Psychotherapy at the Institute of Family Therapy, an MA in Clinical Mental Health Counseling at Appalachian State University, and a BA in Psychology at the University of North Carolina at Asheville. He practices from a systemic theoretical orientation, which integrates techniques of emotionally focused and narrative family therapy. He welcomes individuals and families to safely explore holistic and relational well-being as part of their counseling journey. His highly specialized techniques are informed by an integrated care and multidisciplinary team approach, the relapse prevention model for the treatment of addictions, and the Maudsley model of family therapy for anorexia nervosa. He is continually working to cultivate inclusivity and anti-oppressive methods in the field and is committed to holding space for compassionate and trauma-informed therapy experiences for all. Whilst born and raised in North Carolina, Dayton has trained and worked as a therapist in both the US and the UK. He loves spending time with his friends and family, and enjoys traveling, playing music, and sharing stories of reflection and inspiration with others. Dayton offers shorter-term counseling for Family Health Center patients referred by their physicians as part of the Integrated Care Model.


Heather Zanzig, MSW, LCSW Heather Zanzig, MSW, LCSW
Integrated Behavioral Health Care Provider, Behavioral Medicine Faculty

MAHEC Family Health Center at Biltmore map
123 Hendersonville Road
Asheville, NC 28803
phone (828) 257-4730

I have my Master’s degree from the UNC-Chapel Hill School of Social Work. My clinical practice began in the late nineties when community mental health was a team-based approach. This shaped my belief which is that people can thrive when offered the opportunity for integrated care. My training is primarily with families and children (0-18 years) as well as pregnant and post-partum women. I’m passionate about supporting caregiver/child relationships because it can shift entire family dynamics and improve outcomes for all family members. My specialties include attachment, caregiver/child interactions, and anxiety reduction for children and adults using CBT strategies, mindfulness, and acceptance.

Offers shorter-term counseling for Family Health Center patients referred by their physicians as part of the Integrated Care Model.

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