As I am a freelance designer with a business of my own, I guess you could say, anywhere. Eirineach Graphics is global! Although physically, for the time being I currently work out of the Portland, Oregon (USA) area.
Design consultation involves the client (you) asking questions/advice of the designer (yours truly) surrounding the topic of the client's particular design needs. For example: If you want to put a background photo in your website but are not sure which or what kind, what best suits the goal and the image, etc. Can be simple things like the above, or more complicated aspects of design.