About Cottonwood Pathways

Our Story

Cottonwood Pathways began in 2007 when Billy and Kim DuTremaine purchased a small, cash-only agency with just three employees. Guided by a vision to make quality addiction and mental health care accessible to everyone in San Juan County, they built Cottonwood into what it is today: a comprehensive treatment provider with over 50 team members, four locations, and a reputation for results.


What started as a small outpatient clinic has grown into an integrated network of services—from intensive outpatient programs and specialized counseling to supportive housing, fitness programs, and experiential therapy. We now accept Medicaid, commercial insurance, and government contracts, ensuring that financial barriers don't stand between you and recovery.


But here's what hasn't changed: our commitment to treating every person who walks through our doors with dignity, compassion, and hope.

What Makes Us Different

We're not your typical clinical setting. From day one, we've worked intentionally to maintain a warm, welcoming environment, the kind of place where people feel safe to be vulnerable and do the hard work recovery requires.

You'll notice the difference in:

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Our People -

Every member of our team is here for the right reasons. We've built a culture where caring is non-negotiable, and it shows.

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Our Approach -

We don't do cookie-cutter treatment. We look at each person individually and design care around your unique needs, strengths, and goals.

Four hands arranged in a cross shape, each pointing toward a central heart representing Our Network

Our Network -

We've created programs that address the whole person—clinical treatment, physical health, safe housing, community connection, and real-world skills.

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Our Accountability -

We're honest about what recovery takes, and we'll be with you every step of the way.

Leadership

Kim DuTremaine, LCSW, LADAC, SAP

Kim DuTremaine, LCSW, LADAC, SAP

Co-Founder & CEO

Kim brings decades of clinical expertise and visionary leadership to Cottonwood. Her commitment to innovative, compassionate care has shaped every aspect of our organization.

Ashely Jack

Ashely Jack

Clinical Director

Ashely leads our clinical team with expertise in co-occurring disorders, EMDR, and DBT. She ensures every client receives evidence-based, trauma-informed care.

Partner Programs

This is the Cottonwood Pathways family, a full network of recovery services built to support the whole person.

Clinical care, fitness, housing, and community are pieces designed to work together. Recovery doesn't happen in one room. 

It happens across all of them.


Ironwood Gym

Ironwood Gym

Physical fitness as part of your recovery. Our fully-equipped gym with certified trainers helps you build strength, structure, and confidence. Because recovery happens in your body, not just your mind.

Brenda's House of Hope

Brenda's House of Hope

Safe, supportive housing for men and women in recovery. Structured living environment during IOP, transitioning to sober living as you build independence and recovery skills.

Locke Street Eats

Locke Street Eats

A sober food truck park for community connection. Enjoy good food in a substance-free environment while building healthy social connections and exploring entrepreneurial opportunities.

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Experiential Program

Recovery through challenge and adventure. Team-building activities, ropes courses, and outdoor experiences that teach trust, perseverance, and what you're truly capable of achieving.

Accreditations & Partnerships

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Cottonwood Clinical Services is licensed by the State of New Mexico and accepts Medicaid and most commercial insurance plans. We partner with courts, probation offices, healthcare providers, and community organizations throughout the Four Corners region to ensure comprehensive support for our clients.


Contact us to verify your insurance or learn more about payment options.