Doctor Name: | SAMUEL SEMONIS |
NPI Number: | 1295198729 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PLPC |
License Number: | 2015034340 |
Business Practice Address: | 12601 Dorsett Rd Saint Louis, MO - 63043 |
Business Phone Number: | 5738867422 |
Business Fax Number: | |
Mailing Address: | 245 Grand Central Dr, UNION |
State: | MO |
Postal Code: | 630841785 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/01/2016 |
NPI Last Update Date: | 04/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2015034340 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |