Doctor Name: | SANDRA MARIE SENINS |
NPI Number: | 1912057795 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 6401009789 |
Business Practice Address: | 601 E Washington St Ionia, MI - 488461871 |
Business Phone Number: | 6165220846 |
Business Fax Number: | 6165220841 |
Mailing Address: | 40 Jefferson Ave Se, GRAND RAPIDS |
State: | MI |
Postal Code: | 495034304 |
Phone Number: | 6164561443 |
Fax Number: | 6167326392 |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 02/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401009789 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |