Provider Demographics
NPI:1033424973
Name:SEMRAU, LINDA JUNE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:JUNE
Last Name:SEMRAU
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1126
Mailing Address - Street 2:
Mailing Address - City:REPUBLIC
Mailing Address - State:WA
Mailing Address - Zip Code:99166-1126
Mailing Address - Country:US
Mailing Address - Phone:509-207-9474
Mailing Address - Fax:
Practice Address - Street 1:16278 N HIGHWAY 21
Practice Address - Street 2:
Practice Address - City:REPUBLIC
Practice Address - State:WA
Practice Address - Zip Code:99166-9627
Practice Address - Country:US
Practice Address - Phone:509-207-9474
Practice Address - Fax:833-333-7731
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-16
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60161076101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2016381Medicaid