Provider Demographics
NPI:1740588847
Name:SEMENIHINA, MARIA IVANOVNA (BST)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:IVANOVNA
Last Name:SEMENIHINA
Suffix:
Gender:F
Credentials:BST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 GALLY RD
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89060-2511
Mailing Address - Country:US
Mailing Address - Phone:702-927-4773
Mailing Address - Fax:
Practice Address - Street 1:2810 W CHARLESTON BLVD STE 70
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1909
Practice Address - Country:US
Practice Address - Phone:702-822-1556
Practice Address - Fax:702-822-1558
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor