Provider Demographics
NPI:1770056632
Name:SEMENTA, JOAN CATHARINE (MLADC, MINISTER)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:CATHARINE
Last Name:SEMENTA
Suffix:
Gender:F
Credentials:MLADC, MINISTER
Other - Prefix:MS
Other - First Name:JOAN
Other - Middle Name:CATHARINE
Other - Last Name:SEMENTA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:REV CATE,MLADC, MMHC
Mailing Address - Street 1:614 NASHUA ST # 232
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-4943
Mailing Address - Country:US
Mailing Address - Phone:603-769-9666
Mailing Address - Fax:
Practice Address - Street 1:SUNUNU YOUTH CENTER
Practice Address - Street 2:1056 RIVER ROAD
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-0305
Practice Address - Country:US
Practice Address - Phone:603-931-3915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0567101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)