Provider Demographics
NPI:1649984493
Name:SEMIENE, JAMES MARTIN JR
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MARTIN
Last Name:SEMIENE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 NW REDWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-1310
Mailing Address - Country:US
Mailing Address - Phone:409-444-0398
Mailing Address - Fax:
Practice Address - Street 1:2303 NW REDWOOD LN
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-1310
Practice Address - Country:US
Practice Address - Phone:409-444-0398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor