Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Seqouia Jabre Pettigrew

Individual provider Professional Counselor · NPI 1730859869

Seqouia Jabre Pettigrew is a Mental Health Counselor in Winston Salem, North Carolina. Qualified in 2021, 5 years ago. Practices with Fredericksburg Area HIV/AIDS Support Services (Fahass), a 2-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2021
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Practice location Address checks out

2150 Country Club Rd Ste 228
Winston Salem, NC 27104-4241
Phone: (855) 284-7483
Fax: (617) 807-0958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701012849 (VA)

Record details

NPI number1730859869
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2021
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Fredericksburg Area Hiv/Aids Support Services (Fahass) — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Winston Salem