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Pyramid Alternatives, Inc

Human Services

Pyramid Alternatives, Inc

General counseling for individuals, couples and groups; support groups; and court-ordered counseling for various violations.


Provides psychological counseling with a special focus on alcohol and other drug-related problems. Provides outpatient individual, family, couple and group therapy. Special programs for people age 17 or under include play therapy for preschool and elementary school-age children. Youth age 12 or over can be seen without parental permission. Offers additional support groups including a probation-referred group for persons as a condition of their probation and children and preteen support groups. Pyramid's First Offender Program is a court-ordered 15-week program for persons convicted, for the first time, of driving under the influence of alcohol. Pyramid's Multiple Offender Drinking Driver program is an 18-month intensive counseling and education program for persons convicted twice or more of driving while under the influence of alcohol and who elect, with court approval, to enter the program. Also offers a Drug Diversion Program, Drug Court Program and Domestic Violence Program. The First Offender, Multiple Offender and Domestic Violence programs are offered in Spanish. The Senior Program assists older persons with problems of stress, grief and medication abuse. Pyramid Alternatives also has offices in San Bruno at 1590 El Camino Real, in South San Francisco at 1050 El Camino Real, and in Half Moon Bay at Shoreline Station. Adolescent Anger Management and Substance Abuse Program with individual, group and family counseling also available.


Public Transit:

SAMTRANS stops within 1 block of most offices.
480 Manor Plaza, Pacifica, CA 94044 37.6499429 -122.4922502 Human Services

Service Options

Languages Spoken:

  • Cantonese
  • Hindi
  • Korean
  • Mandarin
  • Russian
  • Spanish
  • Tagalog
  • Ukrainian

Accessibility Options:

  • Disabled Restroom
  • Ramp
  • Wheelchair



Vary according to income. Services are provided regardless of ability to pay. Private insurance and military insurance accepted.


Persons in need of counseling, particularly in the areas of substance abuse, domestic violence, dual diagnosis and violence prevention


None. Youth age 11 or under must have parental permission

How to Apply:

Walk in or apply by phone. Appointment preferred.

Service Wait Estimate:

Short waiting time for evening, low-fee appointments.

Service Areas:

  • San Francisco County
  • San Mateo County
Behavioral Health Services (Counseling and Education)

Service Description:

Provides adult, child, couple, family, and group counseling, and services for victims of trauma and court-mandated domestic violence batterers and anger management clients. Also provided school-based counseling in Daly City, Brisbane, and San Bruno schools.


Medi-Cal, Victims of Crime compensation program, Sliding scale

How to Apply:

Call our main number at 650-355-8787 for screening appointment.

Payment Methods Accepted:

  • Cash
  • Check
  • Credit Card

Service Areas:

  • Daly City
  • Pacifica
  • San Bruno
  • San Mateo
  • South San Francisco