Provider Demographics
NPI:1184872053
Name:SEMET, MARK A
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:A
Last Name:SEMET
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MARK
Other - Middle Name:A
Other - Last Name:SEMET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:8220 ORVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-1949
Mailing Address - Country:US
Mailing Address - Phone:913-909-9528
Mailing Address - Fax:
Practice Address - Street 1:8220 ORVILLE AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-1949
Practice Address - Country:US
Practice Address - Phone:913-909-9528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20001711425101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health