Here are some resources for Olympia, Seattle, and Portland.

Safeplace – Olympia. Crisis line/support 754-6300.
more prepared to deal with DV/SA issues (domestic violence/sexual assault); can work with trans people on violence/abuse issues but not trained for trans counseling.
walk-in advocacy, 314 Legion Way. 10am-12pm, 1-3pm Tues and Wed only.

Stonewall Youth – Olympia. 705-2738.
supports, informs, and advocates for youth up to 21 years old who identify as gay, lesbian, bisexual, transgendered, or who have questions about their sexual orientation or gender identity. .... provides a wide spectrum of services, including Youth Outreach, Peer Support Groups, and Community Education.

Tina Witcher and Nancy Sigafoos – Olympia. 943-5430.
private counseling for gender/sexual minorities. Sliding scale
HIV case management for Thurston County

Lambert House – Seattle. 206-322-2515
center for Gay, Lesbian, Bisexual, Transgender and Questioning youth ages 14-22 that encourages empowerment through the development of leadership, social and life skills.
The website has a guide to services and links to further information

NW Network of Bisexual, Transgendered, and Lesbian Survivors of Abuse – Seattle. 206-568-7777
to support the self-determination and safety of bisexual, transgendered, lesbian, and gay survivors of abuse through education, organizing and advocacy
support groups, individual counseling, legal advocacy, shelter referrals, safety planning, basic needs assistance

Ingersoll Gender Center - Seattle. 206-329-6651. Business Office hours: 10:30-12:30 pm (Pacific Time) Tuesday, Wednesday, Thursday, Friday.
able to offer a full range of services to gender dysphoric clients such as referrals to therapists, support and peer counseling pertaining to issues of daily living, changes in lifestyle, preparation for surgery, and post-operative care.

Seattle Counseling Service – Seattle. Tel. 206-323-1768 Fax. 206-323-2184
a community resource that advocates, educates and serves to advance the social well being and mental health of the Gay, Lesbian, Bisexual and Transgender communities.
info@seattlecounseling.org

The Survivor Project – Portland. Crisis line 503-281-2242
a non-profit organization dedicated to addressing the needs of intersex and trans survivors of domestic and sexual violence through caring action, education and expanding access to resources

Also see Gabi Clayton's website for lots of information, and the Ingersoll Center's links page.