Healthcare Provider Details

I. General information

NPI: 1235014010
Provider Name (Legal Business Name): SEQUOIA MARRIAGE FAMILY COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2025
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7996 OLD WINDING WAY STE 300
FAIR OAKS CA
95628-7159
US

IV. Provider business mailing address

7996 OLD WINDING WAY STE 300
FAIR OAKS CA
95628-7159
US

V. Phone/Fax

Practice location:
  • Phone: 916-436-1803
  • Fax:
Mailing address:
  • Phone: 916-436-1803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANDREA NOELLE DIEMERT
Title or Position: LMFT/OWNER/DIRECTOR
Credential: LMFT
Phone: 916-436-1803