Provider Demographics
NPI:1407698921
Name:SEQUOIA COUNSELING INC.
Entity type:Organization
Organization Name:SEQUOIA COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DODSON
Authorized Official - Suffix:
Authorized Official - Credentials:LADAC, LCSW
Authorized Official - Phone:505-801-2515
Mailing Address - Street 1:PO BOX 322
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87499-0322
Mailing Address - Country:US
Mailing Address - Phone:505-613-6909
Mailing Address - Fax:
Practice Address - Street 1:2001 N COCHITI AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-4237
Practice Address - Country:US
Practice Address - Phone:505-613-6909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-07
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty