Healthcare Provider Details

I. General information

NPI: 1932381548
Provider Name (Legal Business Name): SEQUOIA COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2007
Last Update Date: 12/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 ARCH STREET
REDWOOD CITY CA
94062
US

IV. Provider business mailing address

165 ARCH STREET
REDWOOD CITY CA
94062
US

V. Phone/Fax

Practice location:
  • Phone: 650-363-0383
  • Fax:
Mailing address:
  • Phone: 650-363-0383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC25517
License Number StateCA

VIII. Authorized Official

Name: MRS. PATRICIA ANN GRABIANOWSKI
Title or Position: OWNER MFT
Credential: MFT
Phone: 650-363-0383