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Organization
SEQUOIA FAMILY THERAPY, PLLC
Active
Organization
SEQUOIA FAMILY THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA GUADALUPE DOMINGUEZ MFT-ASSOCIATE (MANAGING MEMBER)
(469) 364-9730
Entity
Organization
Contact information
Practice address
1071 LAKE CAROLYN PARKWAY, APT 4064, IRVING, TX 75039
(469) 364-9730
Mailing address
539 W COMMERCE ST # 5466, DALLAS, TX 75208-1953
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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