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NPI Code Detail

MEDICARE: SEQUOIA COUNSELING SERVICES, INC.

MEDICARE: SEQUOIA COUNSELING SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
2251S00000XCommunity/Behavioral Health Agency
3101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386778959
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEQUOIA COUNSELING SERVICES, INC.
Provider Business Mailing Address
First Line : PO BOX 1895
Second Line : 531 BRYDEN AVE
City : LEWISTON
State : ID
Zip : 83501-1463
Country : US
Telephone Number : 208-798-1646
Fax Number : 208-798-5568
Provider Business Practice Location Address
First Line : 531 BRYDEN AVE
Second Line :
City : LEWISTON
State : ID
Zip : 83501-4438
Country : US
Telephone Number : 208-798-1646
Fax Number : 208-798-5568
Authorized Official
Title or Position : CLINICAL DIRECTOR/OWNER
Name : BRENDA LEE MCKENZIE
Credential : LCPC
Telephone Number : 208-798-1646
Provider Enumeration Date : 03/15/2007
Last Update Date : 12/08/2025

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Directions to “SEQUOIA COUNSELING SERVICES, INC. ” Practice Location

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