Individual provider · Type 1 NPI

Sequoyah Wharton, ED.D.

Mental Health Counselor · Coram, NY

NPI number 1174129530 Active

Practice location

1970 Route 112 Ste 6
Coram, NY 11727-2300

Call (631) 333-0096 Map

Mailing address

60 Marshall Dr
Selden, NY 11784-2312

Specialties and licenses

TaxonomyCodeLicense
Research Study Specialist 1744R1102XNone listed
Research Clinic/Center 261QR1100XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174129530

Sequoyah Wharton, ED.D.'s National Provider Identifier is 1174129530, issued on Dec 9, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coram, NY. The record was last updated on Dec 9, 2020.